| Tiffany Renae Prewitt, NP | |
|
400 N Edwards St, Enterprise, AL 36330-2584 | |
| (334) 347-0584 | |
| Not Available |
| Full Name | Tiffany Renae Prewitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 400 N Edwards St, Enterprise, Alabama |
| 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 |
|---|---|---|---|
| 1619469426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11026588 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 1-130362 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 972 |
| Flowers Hb Medical Services Llc | 6305290990 | 132 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Renae Prewitt, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Tiffany Renae Prewitt, NP 400 N Edwards St, Enterprise, AL 36330-2584 Ph: (334) 347-0584 |
Ms. Julie Frances Hughes, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-393-7337 | |
Jessica E Poitevint, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Samantha Elizabeth Pickett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330 Phone: 334-475-2680 Fax: 334-475-2681 | |
Millicent R Harrison, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Brandon Skinner, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 N Main St, Enterprise, AL 36330 Phone: 334-308-9797 | |
Ms. Shelley Nicole Cammarota, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606a Boll Weevil Cir, Enterprise, AL 36330 Phone: 334-475-2462 | |
Amber Amuso Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 |