Individual ProviderTiffany CrossPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, Philadelphia, PA 19104-4238(215) 662-4000(856) 332-7896PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Cross is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1154165363Provider TypeIndividualFull NameCross, TiffanyCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date6/21/2024Last Updated6/21/2024Contact InformationPractice LocationPractice Address3400 Spruce St, Philadelphia, PA 19104-4238Phone(215) 662-4000FaxUnlisted FaxMailing LocationMailing Address1341 Baylor Ave, Vineland, NJ 08360-4470Phone(856) 332-7896FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer