Dr Laura Tiedemann, MD in Fairfield, CT

Dr Laura Tiedemann, MD is a medicare enrolled "Ophthalmology" physician in Fairfield, Connecticut. Her current practice location is 1375 Kings Hwy Ste 301, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 366-8000.

Dr Laura Tiedemann is licensed to practice in Connecticut (license number 75075) 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 1346745775.

Contact Information

	Dr Laura Tiedemann, MD
	1375 Kings Hwy Ste 301, Fairfield, CT 06824-5396
	(203) 366-8000
	(203) 330-4598

Map and Direction

Physician's Profile

Full Name	Dr Laura Tiedemann
Gender	Female
Speciality	Ophthalmology
Location	1375 Kings Hwy Ste 301, Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346745775
Provider Enumeration Date: 03/27/2018
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1254728546
Enrollment ID: I20220505001507

Medical Identifiers

Medical identifiers for Dr Laura Tiedemann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346745775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	MD477351 (Pennsylvania)	Secondary
207W00000X	Ophthalmology	323382 (New York)	Secondary
207WX0200X	Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery	323382 (New York)	Secondary
207WX0200X	Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery	75075 (Connecticut)	Secondary
207W00000X	Ophthalmology	75075 (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. Dr Laura Tiedemann allows following entities to bill medicare on her behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

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. Dr Laura Tiedemann 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
Dr Laura Tiedemann, MD 825 E Gate Blvd Ste 111, Garden City, NY 11530-2136 Ph: (516) 804-5200	Dr Laura Tiedemann, MD 1375 Kings Hwy Ste 301, Fairfield, CT 06824-5396 Ph: (203) 366-8000

Reviews and Comments

Ophthalmology Doctors in Fairfield, CT

Dr. Jeffrey L Oberman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Sasco Hill Rd # 202, Fairfield, CT 06824 Phone: 203-221-0545 Fax: 203-221-0592
Dr. Peter Alan Small, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2119 Post Rd, Fairfield, CT 06824 Phone: 203-259-7400
Dr. George A Bullwinkel Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 22 Barrister Ln, Fairfield, CT 06824 Phone: 203-254-3999
Dr. Dan Charles Omohundro Sr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2371 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-371-0141 Fax: 203-371-6585
Dr. Kim P Robbins, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Sasco Hill Rd Ofc 202, Office 202, Fairfield, CT 06824 Phone: 203-371-5800 Fax: 203-371-6551
Elisse Park, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2371 Black Rock Turnpike, Fairfield, CT 06825 Phone: 203-371-0141

Dr Laura Tiedemann, MD - Medicare Ophthalmology in Fairfield, CT