Alden R Tetlie, MD in Saint Paul, MN - Medicare Family Medicine

Alden R Tetlie, MD is a medicare enrolled "Family Medicine" physician in Saint Paul, Minnesota. His current practice location is 1540 Randolph Ave, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 699-8333.

Alden R Tetlie is licensed to practice in Minnesota (license number 27058) 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 1427061944.

Contact Information

	Alden R Tetlie, MD
	1540 Randolph Ave, Saint Paul, MN 55105-2535
	(651) 699-8333
	(651) 699-9257

Map and Direction

Physician's Profile

Full Name	Alden R Tetlie
Gender	Male
Speciality	Family Medicine
Location	1540 Randolph Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427061944
Provider Enumeration Date: 08/14/2006
Last Update Date: 10/27/2011

Medicare PECOS Information:

PECOS PAC ID: 7012829138
Enrollment ID: I20060425000056

Medical Identifiers

Medical identifiers for Alden R Tetlie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427061944	NPI	-	NPPES
271872300	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27058 (Minnesota)	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. Alden R Tetlie allows following entities to bill medicare on his behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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. Alden R Tetlie 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
Alden R Tetlie, MD 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 Ph: (651) 772-1572	Alden R Tetlie, MD 1540 Randolph Ave, Saint Paul, MN 55105-2535 Ph: (651) 699-8333

Reviews and Comments

Family Medicine Doctors in Saint Paul, MN

Huiying Guo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-967-5584
Sana Zekri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 580 Rice St, Saint Paul, MN 55103 Phone: 651-982-7618
David Alan Ness, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-690-1311 Fax: 651-690-2447
Patrick N Arnold, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 234 Wentworth Ave E, Saint Paul, MN 55118 Phone: 651-455-2940 Fax: 651-455-3354
Laurel Ries, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Rice St, Saint Paul, MN 55117 Phone: 651-326-9020 Fax: 651-326-9021
Dr. Stephanie Dawnonnerate Stanton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Como Ave, Saint Paul, MN 55108 Phone: 952-853-8800
Ravi Balasubrahmanyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N Ste 4640, Saint Paul, MN 55102 Phone: 651-241-1001 Fax: 651-241-1116

Alden R Tetlie, MD - Medicare Family Medicine in Saint Paul, MN