Tiffany E Polo, - Medicare Nurse Practitioner in King William, VA

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Tiffany E Polo, is a medicare enrolled "Nurse Practitioner" in King William, Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Richmond Heart And Vascular Associates, Bon Secours Memorial Regional Medical Center Llc and her current practice location is 1041 Sharon Rd, Suite 205, King William, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 746-1677.

Tiffany E Polo is licensed to practice in Virginia (license number 0024172717) 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 1548640873.

Contact Information

Tiffany E Polo,
1041 Sharon Rd, Suite 205,
King William, VA 23086-3347
(804) 746-1677
(804) 769-3170

Map and Direction




Provider's Profile

Full NameTiffany E Polo
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1041 Sharon Rd, King William, Virginia
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:
  • Tiffany E Polo graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1548640873
  • Provider Enumeration Date: 06/02/2015
  • Last Update Date: 07/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5496060592
  • Enrollment ID: I20150819006919

Medical Identifiers

Medical identifiers for Tiffany E Polo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548640873NPI-NPPES
C05698OtherVAGROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024172717 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Tappahannock Home HealthTappahannock, VAHome health agency
Bon Secours Memorial Regional Medical CenterMechanicsville, VAHospital
Bon Secours St Marys HospitalRichmond, VAHospital
Riverside Tappahannock HospitalTappahannock, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Richmond Heart And Vascular Associates438503971815
Bon Secours Memorial Regional Medical Center Llc650777529333

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. Tiffany E Polo allows following entities to bill medicare on her behalf.
Entity NameBon Secours Memorial Regional Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881795557
PECOS PAC ID: 6507775293
Enrollment ID: O20040726000687
Entity NameRichmond Heart And Vascular Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508519745
PECOS PAC ID: 4385039718
Enrollment ID: O20220321002135

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. Tiffany E Polo 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
Tiffany E Polo,
1041 Sharon Rd, Suite 205,
King William, VA 23086-3347

Ph: (804) 746-1677		Tiffany E Polo,
1041 Sharon Rd, Suite 205,
King William, VA 23086-3347

Ph: (804) 746-1677

Reviews and Comments


Nurse Practitioner Nurses in King William, VA

Patricia Ahn, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1041 Sharon Rd Ste 205, King William, VA 23086
Phone: 804-769-3096    

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.