Mrs Tiffany A Jackson, CNM in York, PA - Medicare Advanced Practice Midwife

Mrs Tiffany A Jackson, CNM is a medicare enrolled "Advanced Practice Midwife" in York, Pennsylvania. Her current practice location is 1693 S Queen St, York, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 845-1621.

Mrs Tiffany A Jackson is licensed to practice in Pennsylvania (license number MW010667) 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 1922299452.

Contact Information

	Mrs Tiffany A Jackson, CNM
	1693 S Queen St, York, PA 17403-4609
	(717) 845-1621
	(717) 854-6939

Map and Direction

Provider's Profile

Full Name	Mrs Tiffany A Jackson
Gender	Female
Speciality	Advanced Practice Midwife
Location	1693 S Queen St, York, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922299452
Provider Enumeration Date: 08/08/2007
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 7517197288
Enrollment ID: I20220207002144

Medical Identifiers

Medical identifiers for Mrs Tiffany A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922299452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	AP2784 (Arizona)	Secondary
367A00000X	Advanced Practice Midwife	MW010667 (Pennsylvania)	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 Tiffany A Jackson allows following entities to bill medicare on her behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

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 Tiffany A Jackson 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 Tiffany A Jackson, CNM 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 845-1621	Mrs Tiffany A Jackson, CNM 1693 S Queen St, York, PA 17403-4609 Ph: (717) 845-1621

Reviews and Comments

Advanced Practice Midwife Nurses in York, PA

Mrs. Renee D Pistilli, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2050 S Queen St, Ste 200, York, PA 17403 Phone: 717-812-2316 Fax: 717-848-5540
Kimberly S Caple, CNM, CRNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 35 Monument Rd, Suite 202, York, PA 17403 Phone: 717-851-2722 Fax: 717-851-3127
Myra Jessica Deluca, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1693 S Queen St, York, PA 17403 Phone: 717-845-1621 Fax: 717-854-6939
Mary Mcclure, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1693 S Queen St, York, PA 17403 Phone: 717-845-1621
Alyx Nicole Fuhrman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1693 S Queen St, York, PA 17403 Phone: 717-845-1621 Fax: 717-854-6939
Amy Jo Hall, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3992 Carlisle Rd, York, PA 17315 Phone: 717-851-7260 Fax: 717-292-2879
Kerry Beth Parker, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1693 S Queen St, York, PA 17403 Phone: 717-845-1621 Fax: 717-854-6939

Mrs Tiffany A Jackson, CNM - Medicare Advanced Practice Midwife in York, PA