Tiffany Eileen Raikes, FNP-C in Colonial Heights, VA

Tiffany Eileen Raikes, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Colonial Heights, Virginia. Her current practice location is 524 Southpark Blvd, Colonial Heights, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 504-7980.

Tiffany Eileen Raikes is licensed to practice in Virginia (license number 0024184519) 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 1861124588.

Contact Information

	Tiffany Eileen Raikes, FNP-C
	524 Southpark Blvd, Colonial Heights, VA 23834-3609
	(804) 504-7980
	(804) 554-5387

Map and Direction

Provider's Profile

Full Name	Tiffany Eileen Raikes
Gender	Female
Speciality	Nurse Practitioner - Family
Location	524 Southpark Blvd, Colonial Heights, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861124588
Provider Enumeration Date: 06/30/2022
Last Update Date: 03/24/2025

Medicare PECOS Information:

PECOS PAC ID: 2961304654
Enrollment ID: I20240816003740

Medical Identifiers

Medical identifiers for Tiffany Eileen Raikes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861124588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024184519 (Virginia)	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. Tiffany Eileen Raikes allows following entities to bill medicare on her behalf.

Entity Name	Southpark Vascular Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962046763 PECOS PAC ID: 0941503338 Enrollment ID: O20191226002301

Entity Name	Pmr Virginia Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083167001 PECOS PAC ID: 9537576608 Enrollment ID: O20210408000505

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 Eileen Raikes 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
Tiffany Eileen Raikes, FNP-C 524 Southpark Blvd, Colonial Heights, VA 23834-3609 Ph: (804) 504-7980	Tiffany Eileen Raikes, FNP-C 524 Southpark Blvd, Colonial Heights, VA 23834-3609 Ph: (804) 504-7980

Reviews and Comments

Nurse Practitioner Nurses in Colonial Heights, VA

Dr. Jessy A Nwuba, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3611 Boulevard, Colonial Heights, VA 23834 Phone: 571-523-5479 Fax: 804-374-8889
Mrs. Megan Sinclair Harvey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 Jennick Dr, Colonial Heights, VA 23834 Phone: 804-526-5888
Samantha N Taylor, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 524 Southpark Blvd, Colonial Heights, VA 23834 Phone: 804-504-7980 Fax: 804-554-5387
Cynthia Frey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 671 Southpark Blvd, Colonial Heights, VA 23834 Phone: 866-607-7734
Jerreka Peterson, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 524 Southpark Blvd, Colonial Heights, VA 23834 Phone: 804-504-7980 Fax: 804-554-5387
Jamie L Matlick, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-520-1764 Fax: 804-616-4221
Karen Heather Scarlett Jenkins, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-520-1764

Tiffany Eileen Raikes, FNP-C - Medicare Nurse Practitioner in Colonial Heights, VA