Mrs Tiffany Lynn Holder, APRN in Ada, OK - Medicare Nurse Practitioner

Mrs Tiffany Lynn Holder, APRN is a medicare enrolled "Nurse Practitioner" in Ada, Oklahoma. Her current practice location is 14341 County Road 3585, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 421-5161.

Mrs Tiffany Lynn Holder is licensed to practice in Oklahoma (license number 211620) 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 1619670908.

Contact Information

	Mrs Tiffany Lynn Holder, APRN
	14341 County Road 3585, Ada, OK 74820-5311
	(580) 421-5161
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tiffany Lynn Holder
Gender	Female
Speciality	Nurse Practitioner
Location	14341 County Road 3585, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619670908
Provider Enumeration Date: 03/24/2023
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7315307618
Enrollment ID: I20230718003615

Medical Identifiers

Medical identifiers for Mrs Tiffany Lynn Holder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619670908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	211620 (Oklahoma)	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 Lynn Holder allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Oklahoma Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755

Entity Name	Emergency Physicians Of Mid-america Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692

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 Lynn Holder 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 Lynn Holder, APRN 14341 County Road 3585, Ada, OK 74820-5311 Ph: (580) 421-5161	Mrs Tiffany Lynn Holder, APRN 14341 County Road 3585, Ada, OK 74820-5311 Ph: (580) 421-5161

Reviews and Comments

Nurse Practitioner Nurses in Ada, OK

Akilah Talibah Dunn, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd., Ada, OK 74820 Phone: 580-436-3980
Mrs. Linda Louise Spooner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2330 Arlington St, Ada, OK 74820 Phone: 580-332-2011 Fax: 580-332-9537
Dr. Tosha Lucille Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9989
Qiong Mu Ross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159
Robin M Losee, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570
Michelle Ann Cole, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9899 Fax: 580-310-9818
Shari M Rhodes, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Arlington St Ste F, Ada, OK 74820 Phone: 580-279-1788

Mrs Tiffany Lynn Holder, APRN - Medicare Nurse Practitioner in Ada, OK