Tiffany M Mattox-rubin, RN in Olive Branch, MS

Tiffany M Mattox-rubin, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Olive Branch, Mississippi. Her current practice location is 4985 Forest Hill Rd S, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 282-5531.

Tiffany M Mattox-rubin is licensed to practice in Tennessee (license number 30562) 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 1700373115.

Contact Information

	Tiffany M Mattox-rubin, RN
	4985 Forest Hill Rd S, Olive Branch, MS 38654-6008
	(901) 282-5531
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany M Mattox-rubin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4985 Forest Hill Rd S, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700373115
Provider Enumeration Date: 04/20/2018
Last Update Date: 11/09/2022

Medicare PECOS Information:

PECOS PAC ID: 5890165302
Enrollment ID: I20221227002283

Medical Identifiers

Medical identifiers for Tiffany M Mattox-rubin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700373115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95022775 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	904963 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	30562 (Tennessee)	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 M Mattox-rubin allows following entities to bill medicare on her behalf.

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

Entity Name	Omni Family Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700891660 PECOS PAC ID: 9234176363 Enrollment ID: O20050411000986

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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 M Mattox-rubin 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 M Mattox-rubin, RN 4985 Forest Hill Rd S, Olive Branch, MS 38654-6008 Ph: (901) 282-5531	Tiffany M Mattox-rubin, RN 4985 Forest Hill Rd S, Olive Branch, MS 38654-6008 Ph: (901) 282-5531

Reviews and Comments

Nurse Practitioner Nurses in Olive Branch, MS

Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806
Jennifer C Sanders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322
Wanda Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776
Queen Mcghee, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111

Tiffany M Mattox-rubin, RN - Medicare Nurse Practitioner in Olive Branch, MS