Spencer Tietjen, AUD in Logan, UT - Medicare Audiologist Provider

Spencer Tietjen, AUD is a medicare enrolled "Audiologist" provider in Logan, Utah. His current practice location is 2245 N 400 E, Ste 301, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-7880.

Spencer Tietjen is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851699003.

Contact Information

	Spencer Tietjen, AUD
	2245 N 400 E, Ste 301, Logan, UT 84341-1892
	(435) 753-7880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Spencer Tietjen
Gender	Male
Speciality	Audiologist
Location	2245 N 400 E, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851699003
Provider Enumeration Date: 03/11/2011
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8921271958
Enrollment ID: I20111107000790

Medical Identifiers

Medical identifiers for Spencer Tietjen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851699003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(* (Not Available))	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. Spencer Tietjen allows following entities to bill medicare on his behalf.

Provider Name	Cache Valley Ear Nose & Throat, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548303795 PECOS PAC ID: 5193128882 Enrollment ID: O20220216002175

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. Spencer Tietjen 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 Address	Practice Location Address
Spencer Tietjen, AUD 2245 N 400 E, Ste 301, Logan, UT 84341-1892 Ph: (435) 753-7880	Spencer Tietjen, AUD 2245 N 400 E, Ste 301, Logan, UT 84341-1892 Ph: (435) 753-7880

Reviews and Comments

Audiologist in Logan, UT

All American Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 95 W 100 S, Suite 320, Logan, UT 84321 Phone: 801-334-0421
Dr. Jeffery Blythe Larsen, PH.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Main Hl, Comd Department, Umc 1000, Logan, UT 84322 Phone: 435-797-1390
Dr. Heather Jo Jensen, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: Usu Hearing Clinic, 1000 Old Main Hill, Logan, UT 84322 Phone: 435-797-1390 Fax: 435-797-0221
Tiffany Shelton, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1000 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346 Fax: 435-797-0221
Andrew Leon Cobabe, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1950 Fax: 435-792-1615
Dr. Andrea Suzette Page, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6410 Old Main Hl, Logan, UT 84322 Phone: 435-797-1374
Mitchell R Udy, Audiologist Medicare: Medicare Enrolled Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521

Spencer Tietjen, AUD - Medicare Audiologist in Logan, UT