Tiffany Patrick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Vernon, Kentucky. Her current practice location is
145 Newcomb Ave, Mount Vernon, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 256-2195.
Tiffany Patrick is licensed to practice in Kentucky (license number 3003382) 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 1356425482.
Provider's Profile
| Full Name | Tiffany Patrick |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 145 Newcomb Ave, Mount Vernon, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356425482
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 06/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426392606
- Enrollment ID: I20181128001894
Medical Identifiers
Medical identifiers for Tiffany Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356425482 | NPI | - | NPPES |
| 3003382 | Other | KY | NURSE ANESTHETISTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3003382 (Kentucky) | 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 Patrick allows following entities to bill medicare on her behalf.
| Entity Name | Rockcastle County Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104890714
PECOS PAC ID: 6103727433
Enrollment ID: O20040119000523 |
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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 Patrick 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 Patrick, CRNA
Po Box 1310,
Mount Vernon, KY 40456-1310
Ph: () - | Tiffany Patrick, CRNA
145 Newcomb Ave,
Mount Vernon, KY 40456
Ph: (606) 256-2195 |
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