Tiffany Wise, NP in Reidsville, NC - Medicare Nurse Practitioner

Tiffany Wise, NP is a medicare enrolled "Nurse Practitioner - Family" in Reidsville, North Carolina. Her current practice location is 1352 W Harrison St, Reidsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 342-3338.

Tiffany Wise is licensed to practice in North Carolina (license number 5015934) 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 1407504582.

Contact Information

	Tiffany Wise, NP
	1352 W Harrison St, Reidsville, NC 27320-2606
	(336) 342-3338
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Wise
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1352 W Harrison St, Reidsville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407504582
Provider Enumeration Date: 03/16/2022
Last Update Date: 03/16/2022

Medicare PECOS Information:

PECOS PAC ID: 6800265414
Enrollment ID: I20221202001889

Medical Identifiers

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

Identifier	Type	State	Issuer
1407504582	NPI	-	NPPES
5015934	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5015934 (North Carolina)	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 Wise allows following entities to bill medicare on her behalf.

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

Entity Name	Eventus Value Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793

Entity Name	North Carolina Palliative Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447959093 PECOS PAC ID: 5991165458 Enrollment ID: O20230714002485

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 Wise 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 Wise, NP 1352 W Harrison St, Reidsville, NC 27320-2606 Ph: () -	Tiffany Wise, NP 1352 W Harrison St, Reidsville, NC 27320-2606 Ph: (336) 342-3338

Reviews and Comments

Nurse Practitioner Nurses in Reidsville, NC

Mrs. Kimberly Randall Booker, CNM, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Maple Ave, Suite C, Reidsville, NC 27320 Phone: 336-342-6063 Fax: 336-342-6066
Terri W Setzer, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 621 S Main St, Suite 100, Reidsville, NC 27320 Phone: 336-342-6880 Fax: 336-851-4722
Alison Marshall, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W Harrison St, Reidsville, NC 27320 Phone: 336-349-7114
Sarah Elizabeth Gray, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 S Scales St, Reidsville, NC 27320 Phone: 336-347-0511
Renee Lynn Adornetto, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5150 Us 29 Business, Reidsville, NC 27320 Phone: 336-660-5775 Fax: 336-660-5776
Mrs. Jennifer Apple Griffin, MSN,APRN,BC,ANP,GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Maple Ave, Suite C, Reidsville, NC 27320 Phone: 336-342-6063 Fax: 336-342-6066
Anna W. Boone, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Gilmer St, Reidsville, NC 27320 Phone: 336-342-6196 Fax: 336-349-7638

Tiffany Wise, NP - Medicare Nurse Practitioner in Reidsville, NC