Tiffany Van Brocklen, in Schenectady, NY - Medicare Nurse Practitioner

Tiffany Van Brocklen, is a medicare enrolled "Nurse Practitioner - Family" in Schenectady, New York. Her current practice location is 3277 Mcdonald Ave, Schenectady, New York. You can reach out to her office (for appointments etc.) via phone at (518) 682-7666.

Tiffany Van Brocklen is licensed to practice in New York (license number F355107-01) 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 1750979522.

Contact Information

	Tiffany Van Brocklen,
	3277 Mcdonald Ave, Schenectady, NY 12304-3940
	(518) 682-7666
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Van Brocklen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3277 Mcdonald Ave, Schenectady, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750979522
Provider Enumeration Date: 01/06/2021
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 8628505351
Enrollment ID: I20241219001949

Medical Identifiers

Medical identifiers for Tiffany Van Brocklen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750979522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	718818 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F355107-01 (New York)	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 Van Brocklen allows following entities to bill medicare on her behalf.

Entity Name	St. Mary's Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628

Entity Name	Wajeeh Sana Physician Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700643830 PECOS PAC ID: 3577901081 Enrollment ID: O20240403001518

Entity Name	Upstate Ny Physician Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487484523 PECOS PAC ID: 4183164148 Enrollment ID: O20240905002964

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 Van Brocklen 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 Van Brocklen, 3277 Mcdonald Ave, Schenectady, NY 12304-3940 Ph: (518) 682-7666	Tiffany Van Brocklen, 3277 Mcdonald Ave, Schenectady, NY 12304-3940 Ph: (518) 682-7666

Reviews and Comments

Nurse Practitioner Nurses in Schenectady, NY

Ms. Jennifer Lynn Iovinelli, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 700 Mcclellan Street, Suite 101, Schenectady, NY 12304 Phone: 518-374-9153 Fax: 518-370-5195
Kathleen B Bellizzi, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 124 Rosa Rd, Suite 382, Schenectady, NY 12308 Phone: 518-386-3691 Fax: 518-386-3503
Chantell Weir, REGISTERED NURSE Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Jackson Ave Apt B, Schenectady, NY 12304 Phone: 718-530-2840
Flor De Maria Arnold, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Mcclellan St, Schenectady, NY 12304 Phone: 518-382-2290
Brian Sicke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Altamont Ave, Schenectady, NY 12303 Phone: 518-264-9000
Ms. Schuylar Crane Dawson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 State St, Schenectady, NY 12307 Phone: 518-374-5353 Fax: 518-347-1413
Basmatie Sallick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 Mcclellan St Ste 101, Schenectady, NY 12304 Phone: 518-382-2260 Fax: 518-347-5812

Tiffany Van Brocklen, - Medicare Nurse Practitioner in Schenectady, NY