Tiffany J Gramblin, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Ackley, Iowa. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ellsworth Municipal Hospital and her current practice location is
1000 10th Ave, Ackley, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 847-2625.
Tiffany J Gramblin is licensed to practice in Iowa (license number A115619) 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 1760849343.
Provider's Profile
| Full Name | Tiffany J Gramblin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 1000 10th Ave, Ackley, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiffany J Gramblin graduated from nursing school in 2015
NPI Data:
- NPI Number: 1760849343
- Provider Enumeration Date: 01/27/2016
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284931213
- Enrollment ID: I20160318000571
Medical Identifiers
Medical identifiers for Tiffany J Gramblin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760849343 | NPI | - | NPPES |
| 1124396387 | Other | IA | TRIMARK PHYSICIANS GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | A115619 (Iowa) | Primary |
| 363LF0000X | Nurse Practitioner - Family | A115819 (Iowa) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ellsworth Municipal Hospital | 2668366311 | 13 |
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 J Gramblin allows following entities to bill medicare on her behalf.
| Entity Name | Ellsworth Municipal Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831296052
PECOS PAC ID: 2668366311
Enrollment ID: O20040212000269 |
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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 J Gramblin 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 |
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Tiffany J Gramblin, ARNP
802 Kenyon Rd Ste A,
Fort Dodge, IA 50501-5740
Ph: (515) 574-8484 | Tiffany J Gramblin, ARNP
1000 10th Ave,
Ackley, IA 50601-1701
Ph: (641) 847-2625 |
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