Tessa J Coltrin, PSYD is a medicare enrolled "Psychologist" provider in Springfield, Missouri. Her current practice location is
3800 S National Ave Ste 770, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 269-6891.
Tessa J Coltrin is licensed to practice in Missouri (license number 2009010491) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255512778.
Healthcare Provider's Profile
| Full Name | Tessa J Coltrin |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3800 S National Ave Ste 770, Springfield, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tessa J Coltrin attended and graduated from in
NPI Data:
- NPI Number: 1255512778
- Provider Enumeration Date: 11/27/2007
- Last Update Date: 10/17/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tessa J Coltrin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255512778 | NPI | - | NPPES |
| 431560263 | Other | MO | TRICARE |
| 197065719 | Medicaid | AR | |
| P01173068 | Other | MO | RR MCR |
| 1255512778 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2009010491 (Missouri) | Secondary |
| 103T00000X | Psychologist | 2009010491 (Missouri) | Primary |
| 101YP2500X | Counselor - Professional | 2007035388 (Missouri) | Secondary |
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. Tessa J Coltrin 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 |
|---|
Tessa J Coltrin, PSYD
Po Box 4046,
Springfield, MO 65808-4046
Ph: (417) 269-5712 | Tessa J Coltrin, PSYD
3800 S National Ave Ste 770,
Springfield, MO 65807-5283
Ph: (417) 269-6891 |
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