Mrs Tiffani Cheree Pendleton, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Moseley, Virginia. Her current practice location is
17507 Tree View Ct, Moseley, Virginia. You can reach out to her office (for appointments etc.) via phone at
(240) 538-8624.
Mrs Tiffani Cheree Pendleton is licensed to practice in Virginia (license number 0024180118) 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 1548865025.
Provider's Profile
Full Name | Mrs Tiffani Cheree Pendleton |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 17507 Tree View Ct, Moseley, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548865025
- Provider Enumeration Date: 12/02/2020
- Last Update Date: 12/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345653911
- Enrollment ID: I20201229001859
Medical Identifiers
Medical identifiers for Mrs Tiffani Cheree Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548865025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0024180118 (Virginia) | 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. Mrs Tiffani Cheree Pendleton allows following entities to bill medicare on her behalf.
Entity Name | Columbia Healthcare Of Central Virginia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417946450 PECOS PAC ID: 9234118340 Enrollment ID: O20041203000047 |
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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. Mrs Tiffani Cheree Pendleton 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 |
Mrs Tiffani Cheree Pendleton, NP-C 17507 Tree View Ct, Moseley, VA 23120-2257 Ph: (240) 538-8624 | Mrs Tiffani Cheree Pendleton, NP-C 17507 Tree View Ct, Moseley, VA 23120-2257 Ph: (240) 538-8624 |
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