FindMyNPI
South Carolina Medicaid lookup

One provider matched this Medicaid ID.

South Carolina Medicaid ID TH2249 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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TB
NPI · 1407911381 · Active
Tiffani Bacon Pt, Dpt
Physical Therapist · San Diego, California
Active
NPI
1407911381
Medicaid (SC)
TH2249
Taxonomy
225100000X
State
South Carolina

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • P00405932· Issued by RAILROAD MEDICARE
  • CP039211T-MDMD· Issued by COMPACT PT LICENSURE

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.