Tiffany Jones Petty, MD in Sanford, NC

Tiffany Jones Petty, MD is a medicare enrolled "Pediatrics" physician in Sanford, North Carolina. Her current practice location is 1801 Doctors Dr, Sanford, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 774-7117.

Tiffany Jones Petty is licensed to practice in North Carolina (license number 2017-01510) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366760001.

Contact Information

	Tiffany Jones Petty, MD
	1801 Doctors Dr, Sanford, NC 27330-5067
	(919) 774-7117
	(919) 776-6715

Map and Direction

Physician's Profile

Full Name	Tiffany Jones Petty
Gender	Female
Speciality	Pediatrics
Location	1801 Doctors Dr, Sanford, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366760001
Provider Enumeration Date: 05/05/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0446490700
Enrollment ID: I20131202001493

Medical Identifiers

Medical identifiers for Tiffany Jones Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366760001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	32629 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	2017-01510 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tiffany Jones Petty allows following entities to bill medicare on her behalf.

Entity Name	University Of South Alabama Health Services Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962455881 PECOS PAC ID: 8426957952 Enrollment ID: O20040128000204

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Jones Petty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tiffany Jones Petty, MD 1801 Doctors Drive, Sanford Pediatrics, P.a., Sanford, NC 27330-5067 Ph: (919) 774-7117	Tiffany Jones Petty, MD 1801 Doctors Dr, Sanford, NC 27330-5067 Ph: (919) 774-7117

Reviews and Comments

Pediatrics Doctors in Sanford, NC

Janice E Aton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1688 S Horner Blvd, Sanford, NC 27330 Phone: 919-775-7337 Fax: 919-775-1525
John B. Hipps, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516
Dr. Allison Jane Burbank, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516
Nina Jain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516
Dr. Aliese Anahid Sarkissian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516
Rebecca A. Baum, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516

Tiffany Jones Petty, MD - Medicare Pediatrics in Sanford, NC