Tiffany Nicole Clark, MD in Philadelphia, PA

Tiffany Nicole Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Philadelphia, Pennsylvania. She went to Creighton University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Dlp Conemaugh Physician Practices Llc and her current practice location is 100 E Lehigh Ave, Suite 305b, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-8483.

Tiffany Nicole Clark is licensed to practice in Pennsylvania (license number MT211125) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982055380.

Contact Information

	Tiffany Nicole Clark, MD
	100 E Lehigh Ave, Suite 305b, Philadelphia, PA 19125-1012
	(215) 707-8483
	Not Available

Map and Direction

Physician's Profile

Full Name	Tiffany Nicole Clark
Gender	Female
Speciality	Psychiatry
Experience	9 Years
Location	100 E Lehigh Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tiffany Nicole Clark attended and graduated from Creighton University School Of Medicine in 2016

NPI Data:

NPI Number: 1982055380
Provider Enumeration Date: 06/27/2016
Last Update Date: 06/27/2016

Medicare PECOS Information:

PECOS PAC ID: 2567755481
Enrollment ID: I20210804004204

Medical Identifiers

Medical identifiers for Tiffany Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982055380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MT211125 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conemaugh Memorial Medical Center	Johnstown, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dlp Conemaugh Physician Practices Llc	7315166949	256

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 Nicole Clark allows following entities to bill medicare on her behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

Entity Name	Pinnacle Health Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180

Entity Name	Dlp Conemaugh Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522

Entity Name	North City Congress
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255870838 PECOS PAC ID: 5395019624 Enrollment ID: O20211029001548

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 Nicole Clark 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 Nicole Clark, MD 946 William Penn Ct, Pittsburgh, PA 15221-2516 Ph: (412) 390-5551	Tiffany Nicole Clark, MD 100 E Lehigh Ave, Suite 305b, Philadelphia, PA 19125-1012 Ph: (215) 707-8483

Reviews and Comments

Psychiatry & Neurology Doctors in Philadelphia, PA

Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815
Dr. Ly Thien Ngo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107 Phone: 215-955-1234 Fax: 215-923-6792
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086

Tiffany Nicole Clark, MD - Medicare Psychiatry in Philadelphia, PA