| Tiffany Jenann Hallmark, | |
|
11 Falcon Crest Ln, Clyde, NC 28721-6620 | |
| (828) 565-0560 | |
| Not Available |
| Full Name | Tiffany Jenann Hallmark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 11 Falcon Crest Ln, Clyde, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295326536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Haywood Regional Medical Center | Clyde, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Laurel Dermatology Pllc | 4486873098 | 5 |
| Entity Name | Mountain Laurel Dermatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013329929 PECOS PAC ID: 4486873098 Enrollment ID: O20140912002134 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Jenann Hallmark, 11 Falcon Crest Ln, Clyde, NC 28721-6620 Ph: (828) 565-0560 | Tiffany Jenann Hallmark, 11 Falcon Crest Ln, Clyde, NC 28721-6620 Ph: (828) 565-0560 |
Mr. John C Kish, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 35 Facility Drive, Medwest, Clyde, NC 28721 Phone: 828-452-5042 Fax: 828-452-9225 |
Nicole Ashley Nielsen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 262 Leroy George Dr, Clyde, NC 28721 Phone: 828-456-7311 |
Ann Marie Skinner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 262 Leroy George Dr, Clyde, NC 28721 Phone: 828-452-8110 |
Brooklyn Marie Galyean, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 262 Leroy George Dr, Clyde, NC 28721 Phone: 828-452-8594 |
Jon Barkley Grady, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 262 Leroy George Dr, Suite M, Clyde, NC 28721 Phone: 828-452-8378 Fax: 828-452-8326 |
Veronica Dayton Romero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 127 Sunset Ridge Rd, Clyde, NC 28721 Phone: 284-528-5948 Fax: 828-452-8775 |
Maegan Coleen Weeks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 581 Leroy George Dr Ste 300, Clyde, NC 28721 Phone: 828-452-4131 |