Tiffany Mayberry, is a medicare enrolled "Speech-language Pathologist" provider in Bryant, Illinois. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Empowerme Wellness Kansas City Llc and her current practice location is
206 S State St, Bryant, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 338-4141.
Tiffany Mayberry is licensed to practice in Illinois (license number 146.010411) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417451451.
Healthcare Provider's Profile
| Full Name | Tiffany Mayberry |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 17 Years |
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| Location | 206 S State St, Bryant, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiffany Mayberry graduated from medical school in 2008
NPI Data:
- NPI Number: 1417451451
- Provider Enumeration Date: 03/23/2018
- Last Update Date: 03/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 1355850496
- Enrollment ID: I20250602000692
Medical Identifiers
Medical identifiers for Tiffany Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417451451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 146.010411 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Empowerme Wellness Kansas City Llc | 9830504836 | 139 |
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 Mayberry allows following entities to bill medicare on her behalf.
| Provider Name | Empowerme Rehabilitation Illinois Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954 |
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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 Mayberry 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 Mayberry,
206 S State St,
Bryant, IL 61519-2337
Ph: (309) 338-4141 | Tiffany Mayberry,
206 S State St,
Bryant, IL 61519-2337
Ph: (309) 338-4141 |
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