Andrea Tidy-clarisa Allman, DO is a medicare enrolled "Emergency Medicine" physician in Three Rivers, Michigan. Her current practice location is
701 S Health Pkwy, Three Rivers, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 273-9789.
Andrea Tidy-clarisa Allman is licensed to practice in Michigan (license number 5101018007) 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 1033361084.
Physician's Profile
Full Name | Andrea Tidy-clarisa Allman |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 701 S Health Pkwy, Three Rivers, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033361084
- Provider Enumeration Date: 10/21/2008
- Last Update Date: 09/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 8022175215
- Enrollment ID: I20090313000446
Medical Identifiers
Medical identifiers for Andrea Tidy-clarisa Allman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033361084 | NPI | - | NPPES |
700G560080 | Other | MI | BCBS GROUP-THREE RIVERS HEALTH |
1033361084 | Other | MI | BC BS MI |
1487658746 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5101018007 (Michigan) | 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. Andrea Tidy-clarisa Allman allows following entities to bill medicare on her behalf.
Entity Name | Southwestern Michigan Emergency Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013021310 PECOS PAC ID: 1456265891 Enrollment ID: O20040211000832 |
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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. Andrea Tidy-clarisa Allman 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 |
Andrea Tidy-clarisa Allman, DO 701 S Health Pkwy, Medical Staff Office, Three Rivers, MI 49093-8352 Ph: (269) 273-9789 | Andrea Tidy-clarisa Allman, DO 701 S Health Pkwy, Three Rivers, MI 49093-8352 Ph: (269) 273-9789 |
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