David Edward Tiesma, MD in Grand Rapids, MI - Medicare Internal Medicine

David Edward Tiesma, MD is a medicare enrolled "Internal Medicine" physician in Grand Rapids, Michigan. His current practice location is 300 Lafayette Ave Se, Suite 3000, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 685-6919.

David Edward Tiesma is licensed to practice in Michigan (license number 4301106108) 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 1922412600.

Contact Information

	David Edward Tiesma, MD
	300 Lafayette Ave Se, Suite 3000, Grand Rapids, MI 49503-4692
	(616) 685-6919
	Not Available

Map and Direction

Physician's Profile

Full Name	David Edward Tiesma
Gender	Male
Speciality	Internal Medicine
Location	300 Lafayette Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922412600
Provider Enumeration Date: 06/20/2014
Last Update Date: 06/20/2014

Medicare PECOS Information:

PECOS PAC ID: 3870718034
Enrollment ID: I20180914002024

Medical Identifiers

Medical identifiers for David Edward Tiesma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922412600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301106108 (Michigan)	Primary
208000000X	Pediatrics	4301106108 (Michigan)	Secondary

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. David Edward Tiesma allows following entities to bill medicare on his behalf.

Entity Name	Brookville Pediatric & Internal Medicine, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346200847 PECOS PAC ID: 0446273510 Enrollment ID: O20060104000851

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. David Edward Tiesma 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
David Edward Tiesma, MD 300 Lafayette Ave Se, Suite 3000, Grand Rapids, MI 49503-4692 Ph: (616) 685-6919	David Edward Tiesma, MD 300 Lafayette Ave Se, Suite 3000, Grand Rapids, MI 49503-4692 Ph: (616) 685-6919

Reviews and Comments

Internal Medicine Doctors in Grand Rapids, MI

Maureen U Tan- Pedres, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044
Jeffery Allen Woo, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071
Robert W Selfe, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585
Dr. Erin Megan Pettijohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600
Dr. Andrew Leo Sochacki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800
Aline De Quadros Teixeira, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139
Stephanie F Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489

David Edward Tiesma, MD - Medicare Internal Medicine in Grand Rapids, MI