Tiffany Jordan Smith, in Beachwood, OH - Medicare Nurse Practitioner

Tiffany Jordan Smith, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Beachwood, Ohio. Her current practice location is 23425 Commerce Park Ste 104, Beachwood, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 831-2900.

Tiffany Jordan Smith is licensed to practice in Ohio (license number 0035137) 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 1639887185.

Contact Information

	Tiffany Jordan Smith,
	23425 Commerce Park Ste 104, Beachwood, OH 44122-5848
	(216) 831-2900
	(216) 831-4306

Map and Direction

Provider's Profile

Full Name	Tiffany Jordan Smith
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	23425 Commerce Park Ste 104, Beachwood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639887185
Provider Enumeration Date: 11/14/2022
Last Update Date: 03/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5294268553
Enrollment ID: I20241025001620

Medical Identifiers

Medical identifiers for Tiffany Jordan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639887185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	452706 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0035137 (Ohio)	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 Jordan Smith allows following entities to bill medicare on her behalf.

Entity Name	Debalzo, Elgudin. Levine, Risen Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396286191 PECOS PAC ID: 3072880715 Enrollment ID: O20170530001838

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 Jordan Smith 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 Jordan Smith, 1372 Caryl Dr, Bedford, OH 44146 Ph: (419) 217-2884	Tiffany Jordan Smith, 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 Ph: (216) 831-2900

Reviews and Comments

Nurse Practitioner Nurses in Beachwood, OH

Megan Hebb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3609 Park East Dr Ste 207, Beachwood, OH 44122 Phone: 216-360-9449
Trisha Tyo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3999 Richmond Rd, Beachwood, OH 44122 Phone: 740-707-3874
Ms. Shenika Todd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27030 Cedar Rd Apt 403, Beachwood, OH 44122 Phone: 216-337-9406
Amrithpal Kaur Brar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25700 Science Park Dr Ste 210, Beachwood, OH 44122 Phone: 216-450-1613
Ms. Sally Ann Yozipovich, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3150 Fax: 216-839-3195
Mrs. Samantha May Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122 Phone: 216-255-5201
Laura Nikole Erskine Penix, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3000

Tiffany Jordan Smith, - Medicare Nurse Practitioner in Beachwood, OH