Matthew J Tiefenbrunn, MD in Sullivan, MO

Matthew J Tiefenbrunn, MD is a medicare enrolled "Family Medicine" physician in Sullivan, Missouri. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic East Communities and his current practice location is 1326 S Service Rd W Ste 10, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 468-4455.

Matthew J Tiefenbrunn is licensed to practice in Missouri (license number 117988) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457393712.

Contact Information

	Matthew J Tiefenbrunn, MD
	1326 S Service Rd W Ste 10, Sullivan, MO 63080-2306
	(573) 468-4455
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew J Tiefenbrunn
Gender	Male
Speciality	Family Practice
Experience	31 Years
Location	1326 S Service Rd W Ste 10, Sullivan, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew J Tiefenbrunn attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1993

NPI Data:

NPI Number: 1457393712
Provider Enumeration Date: 06/12/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4981598646
Enrollment ID: I20100508000009

Medical Identifiers

Medical identifiers for Matthew J Tiefenbrunn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457393712	NPI	-	NPPES
203922505	Medicaid	MO
080140048	Other		RAILROAD MEDICARE
1457393712	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	117988 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alternative Hospice	Fenton, MO	Hospice
Mercy Hospital Washington	Washington, MO	Hospital
Missouri Baptist Sullivan Hospital	Sullivan, MO	Hospital
Mercy Hospital St Louis	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic East Communities	7214827922	499

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. Matthew J Tiefenbrunn allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073739041 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058

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. Matthew J Tiefenbrunn 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
Matthew J Tiefenbrunn, MD 1326 S Service Rd W Ste 10, Sullivan, MO 63080-2306 Ph: (573) 468-4455	Matthew J Tiefenbrunn, MD 1326 S Service Rd W Ste 10, Sullivan, MO 63080-2306 Ph: (573) 468-4455

Reviews and Comments

Family Medicine Doctors in Sullivan, MO

Dr. Patricia Hinkle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 888-403-1071
Om Sam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000
Armela Agasino, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 751 Sappington Bridge Rd, Sullivan, MO 63080 Phone: 573-468-1997 Fax: 573-468-1998
Dr. Rebekah Allen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 Sappington Bridge Rd, Sullivan, MO 63080 Phone: 573-468-4186 Fax: 573-860-6179

Matthew J Tiefenbrunn, MD - Medicare Family Practice in Sullivan, MO