Ms Tiffany Brandice Wallace, - Registered Nurse in Southfield, MI

Ms Tiffany Brandice Wallace, is a Registered Nurse - Case Management based in Southfield, Michigan. Ms Tiffany Brandice Wallace is licensed to practice in Michigan (license number 4704424595) and her current practice location is 29699 Southfield Rd, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 559-5000.

NPI number for Ms Tiffany Brandice Wallace is 1972463222 and her current mailing address is 29699 Southfield Rd, Southfield, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972463222.

Contact Information

Ms Tiffany Brandice Wallace,
29699 Southfield Rd,
Southfield, MI 48076-2038
(248) 559-5000
Not Available

Map and Direction




Provider's Profile

Full NameMs Tiffany Brandice Wallace
GenderFemale
SpecialityRegistered Nurse - Case Management
Location29699 Southfield Rd, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972463222
  • Provider Enumeration Date: 11/17/2025
  • Last Update Date: 11/17/2025

Medical Identifiers

Medical identifiers for Ms Tiffany Brandice Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972463222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management 4704424595 (Michigan)Primary

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. Ms Tiffany Brandice Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Tiffany Brandice Wallace,
29699 Southfield Rd,
Southfield, MI 48076-2038

Ph: (248) 559-5000
Ms Tiffany Brandice Wallace,
29699 Southfield Rd,
Southfield, MI 48076-2038

Ph: (248) 559-5000

Reviews and Comments


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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.

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