Mrs Tiffani Lynette Dorn, PA-C - Medicare Physician Assistant in Newark, OH

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Mrs Tiffani Lynette Dorn, PA-C is a medicare enrolled "Physician Assistant" in Newark, Ohio. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Physicians Immediate Care North Chicago Llc, Pic Indiana Pc, Wellnow Urgent Care, P.c., Wellnow Urgent Care, P.c. and her current practice location is 919 Glyn Evans Ct, Newark, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 405-5120.

Mrs Tiffani Lynette Dorn is licensed to practice in Ohio (license number 004253) 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 1629460183.

Contact Information

Mrs Tiffani Lynette Dorn, PA-C
919 Glyn Evans Ct,
Newark, OH 43055-1792
(740) 405-5120
(740) 788-8268

Map and Direction




Provider's Profile

Full NameMrs Tiffani Lynette Dorn
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location919 Glyn Evans Ct, Newark, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Tiffani Lynette Dorn graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1629460183
  • Provider Enumeration Date: 02/20/2015
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385935147
  • Enrollment ID: I20210821000299

Medical Identifiers

Medical identifiers for Mrs Tiffani Lynette Dorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629460183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 7562-23 (Wisconsin)Secondary
363A00000XPhysician Assistant OA006586 (Pennsylvania)Secondary
363A00000XPhysician Assistant 085.008370 (Illinois)Secondary
363A00000XPhysician Assistant 027353 (New York)Secondary
363A00000XPhysician Assistant 004253 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Immediate Care North Chicago Llc8729064159256
Pic Indiana Pc3476790239143
Wellnow Urgent Care, P.c.8325320864395
Wellnow Urgent Care, P.c.8325320864395

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 Lynette Dorn allows following entities to bill medicare on her behalf.
Entity NamePhysicians Immediate Care North Chicago LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205814118
PECOS PAC ID: 8729064159
Enrollment ID: O20040626000381
Entity NameWellnow Urgent Care, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669825162
PECOS PAC ID: 8325320864
Enrollment ID: O20190320001131

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 Lynette Dorn 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 AddressPractice Location Address
Mrs Tiffani Lynette Dorn, PA-C
919 Glyn Evans Ct,
Newark, OH 43055-1792

Ph: (740) 405-5120		Mrs Tiffani Lynette Dorn, PA-C
919 Glyn Evans Ct,
Newark, OH 43055-1792

Ph: (740) 405-5120

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.