Tiffany Tamaira Bates, APRN - Medicare Nurse Practitioner in Stockbridge, GA

Tiffany Tamaira Bates, APRN is a medicare enrolled "Nurse Practitioner" physician in Stockbridge, Georgia. Her current practice location is 175 Corporate Center Dr Ste B, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 436-0847.

Tiffany Tamaira Bates is licensed to practice in Georgia (license number RN219825) 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 1457943813.

Contact Information

Tiffany Tamaira Bates, APRN
175 Corporate Center Dr Ste B,
Stockbridge, GA 30281-7382
(470) 436-0847
Not Available



Physician's Profile

Full NameTiffany Tamaira Bates
GenderFemale
SpecialityNurse Practitioner
Location175 Corporate Center Dr Ste B, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457943813
  • Provider Enumeration Date: 02/08/2021
  • Last Update Date: 02/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224414388
  • Enrollment ID: I20220928000374

Medical Identifiers

Medical identifiers for Tiffany Tamaira Bates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457943813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RN219825 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN219825 (Georgia)Secondary
363L00000XNurse Practitioner RN219825 (Georgia)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 Tamaira Bates allows following entities to bill medicare on her behalf.
Entity NamePsychiatric Consultants Of Atlanta
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629088984
PECOS PAC ID: 6305949090
Enrollment ID: O20070319000217

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Entity NameGrowth Mindset Wellness Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699408005
PECOS PAC ID: 7315323474
Enrollment ID: O20220928000242

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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 Tamaira Bates 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 AddressPractice Location Address
Tiffany Tamaira Bates, APRN
1550 Marceau Dr,
Conley, GA 30288-1976

Ph: (646) 271-1711
Tiffany Tamaira Bates, APRN
175 Corporate Center Dr Ste B,
Stockbridge, GA 30281-7382

Ph: (470) 436-0847

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