Mandy Tiedeman, LMFT in Glastonbury, CT - Medicare Marriage & Family Therapist Provider

Mandy Tiedeman, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Glastonbury, Connecticut. Her current practice location is 119c Griswold St Ste 202, Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 918-7946.

Mandy Tiedeman is licensed to practice in Connecticut (license number 2402) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891300539.

Contact Information

	Mandy Tiedeman, LMFT
	119c Griswold St Ste 202, Glastonbury, CT 06033-1099
	(860) 918-7946
	(860) 735-5842

Map and Direction

Healthcare Provider's Profile

Full Name	Mandy Tiedeman
Gender	Female
Speciality	Marriage & Family Therapist
Location	119c Griswold St Ste 202, Glastonbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891300539
Provider Enumeration Date: 09/10/2020
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9830537463
Enrollment ID: I20240402002553

Medical Identifiers

Medical identifiers for Mandy Tiedeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891300539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	2402 (Connecticut)	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. Mandy Tiedeman allows following entities to bill medicare on her behalf.

Entity Name	Innerlight Wellness Counseling, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043094956 PECOS PAC ID: 8921446550 Enrollment ID: O20240402002458

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. Mandy Tiedeman 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
Mandy Tiedeman, LMFT 119c Griswold St Ste 202, Glastonbury, CT 06033-1099 Ph: (860) 918-7946	Mandy Tiedeman, LMFT 119c Griswold St Ste 202, Glastonbury, CT 06033-1099 Ph: (860) 918-7946

Reviews and Comments

Marriage & Family Therapist in Glastonbury, CT

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Michelle Munasami, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33 Pratt St, Glastonbury, CT 06033 Phone: 860-946-0447
Sean Macauley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 99 Citizens Dr, Glastonbury, CT 06033 Phone: 860-334-6135
Carey A Beyor, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 78 Eastern Boulevard, Transitions, 2nd Floor Suite, Glastonbury, CT 06033 Phone: 860-652-0428 Fax: 860-652-0081
Alaina Fusco, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 345 New London Tpke, Glastonbury, CT 06033 Phone: 860-368-0065

Mandy Tiedeman, LMFT - Medicare Couples Therapy in Glastonbury, CT