Dr Myles D Tonnacliff, PHD is a medicare enrolled "Psychologist" provider in Cedarburg, Wisconsin. He graduated from healthcare school in 1996 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
W62n248 Washington Ave Ste 208, Cedarburg, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 618-2856.
Dr Myles D Tonnacliff is licensed to practice in Wisconsin (license number 2163-057) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1942335260.
Healthcare Provider's Profile
| Full Name | Dr Myles D Tonnacliff |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 29 Years |
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| Location | W62n248 Washington Ave Ste 208, Cedarburg, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Myles D Tonnacliff graduated from medical school in 1996
NPI Data:
- NPI Number: 1942335260
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 03/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577669753
- Enrollment ID: I20070504000046
Medical Identifiers
Medical identifiers for Dr Myles D Tonnacliff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942335260 | NPI | - | NPPES |
| 2163-057 | Other | WI | LICENSED PSYCHOLOGIST |
| 39154700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2282-125 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 2163-057 (Wisconsin) | Primary |
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. Dr Myles D Tonnacliff 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 |
|---|
Dr Myles D Tonnacliff, PHD
W62n248 Washington Ave Ste 208,
Cedarburg, WI 53012-2768
Ph: (622) 618-2856 | Dr Myles D Tonnacliff, PHD
W62n248 Washington Ave Ste 208,
Cedarburg, WI 53012-2768
Ph: (262) 618-2856 |
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