Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Luckey

Individual provider Physician Assistant · NPI 1245784453

Tiffany Luckey is a Physician Assistant in Greenwood, Wisconsin. Qualified in 2016, 10 years ago. Practices with Memorial Hospital Inc, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

102 Cannery St Marshfield Clinic Greenwood Ctr
Greenwood, WI 54437-9705
Phone: (715) 267-6600
Fax: (715) 267-6917
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 E Spruce St, Abbotsford, WI 54405-9647 — (715) 223-3278

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3988 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1245784453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2016
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address102 Cannery St, Marshfield Clinic Greenwood Center, Greenwood, WI 54437-9705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Memorial Hospital Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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