Mrs Tiffany Camille Sullivan, APRN - Medicare Nurse Practitioner in Brandon, FL

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Mrs Tiffany Camille Sullivan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Brandon, Florida. Her current practice location is 503 Eichenfeld Dr Ste 104, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 708-6107.

Mrs Tiffany Camille Sullivan is licensed to practice in Florida (license number 11028986) 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 1235918012.

Contact Information

Mrs Tiffany Camille Sullivan, APRN
503 Eichenfeld Dr Ste 104,
Brandon, FL 33511-5984
(813) 708-6107
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tiffany Camille Sullivan
GenderFemale
SpecialityNurse Practitioner - Family
Location503 Eichenfeld Dr Ste 104, Brandon, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235918012
  • Provider Enumeration Date: 09/21/2023
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789037771
  • Enrollment ID: I20240125003360

Medical Identifiers

Medical identifiers for Mrs Tiffany Camille Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235918012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 9340933 (Florida)Secondary
363LF0000XNurse Practitioner - Family 11028986 (Florida)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 Camille Sullivan allows following entities to bill medicare on her behalf.
Entity NameUnique Healthcare Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831567627
PECOS PAC ID: 5496058422
Enrollment ID: O20160125001731
Entity NameSynergic Healthcare Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718013
PECOS PAC ID: 7618235573
Enrollment ID: O20180502000041
Entity NameQuality Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598545063
PECOS PAC ID: 5799132841
Enrollment ID: O20231110000298

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 Camille Sullivan 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 Tiffany Camille Sullivan, APRN
601 15th Ave Nw,
Ruskin, FL 33570-3507

Ph: (813) 508-1327		Mrs Tiffany Camille Sullivan, APRN
503 Eichenfeld Dr Ste 104,
Brandon, FL 33511-5984

Ph: (813) 708-6107

Reviews and Comments


Nurse Practitioner Nurses in Brandon, FL

Mindy Connors, ARNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 635 Eichenfeld Dr, Brandon, FL 33511
Phone: 813-684-6000    
Dr. Shawn Blouin, DNP, ARNP, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 119 Oakfield Dr, Brandon, FL 33511
Phone: 813-681-5551    
Mrs. Kimberly Mcfarling Davis, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1771 S Kings Ave, Brandon, FL 33511
Phone: 813-345-4044    
Derek Hoffert, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 119 Oakfield Dr, Brandon, FL 33511
Phone: 813-681-5551    
Herbert Wilson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1307 Providence Rd, Brandon, FL 33511
Phone: 813-655-4646    Fax: 813-655-4113
Maylin Barrios, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 604 Medical Care Dr, Brandon, FL 33511
Phone: 813-448-2081    
Mrs. Linda Jean Hubsmith, ARNP(F-PC FMHNP)
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1119 Nikki View Dr, Brandon, FL 33511
Phone: 813-947-3050    Fax: 813-436-0809

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.