Tiffany A Darling (NPI# 1871671735, PAC ID# 0042508889) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1871671735 |
| PAC ID by PECOS | 0042508889 |
| Professional Enrollment ID | I20161012000040 |
| Full Name | Tiffany A Darling |
| Organization Legal Name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Address |
36745 Aiken Rd Bayfield WI 54814-4579 |
| Phone Number | 71577937072258 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 4284537580 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 36745 Aiken Rd, Bayfield, WI 54814-4579 | 71577937072258 | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Organization Legal Name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Degerstrom | Physical Therapy | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Carol Nyman | Nurse Practitioner | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Ann E Reitz | Family Medicine | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Corwin J Sateren | Optometry | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Street Address |
36745 AIKEN RD |
| City | BAYFIELD |
| State | WI |
| Zip | 54814-4579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Degerstrom | Physical Therapy | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Carol Nyman | Nurse Practitioner | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Ann E Reitz | Family Medicine | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Corwin J Sateren | Optometry | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| City | BAYFIELD |
| Zip Code | 54814 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BAYFIELD + GENERAL PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.