Elise Tetelman, PA-C, MBA is a medicare enrolled "Physician Assistant" physician in Piney Flats, Tennessee. Her current practice location is
5554 Highway 11 E, Piney Flats, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 666-0030.
Elise Tetelman is licensed to practice in Tennessee (license number 4687) 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 1225530686.
Physician's Profile
| Full Name | Elise Tetelman |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 5554 Highway 11 E, Piney Flats, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225530686
- Provider Enumeration Date: 03/01/2018
- Last Update Date: 02/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587927306
- Enrollment ID: I20180409002264
Medical Identifiers
Medical identifiers for Elise Tetelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225530686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 021486-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | 4687 (Tennessee) | Primary |
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. Elise Tetelman 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 |
|---|
Elise Tetelman, PA-C, MBA
5554 Highway 11 E,
Piney Flats, TN 37686-4435
Ph: (423) 666-0030 | Elise Tetelman, PA-C, MBA
5554 Highway 11 E,
Piney Flats, TN 37686-4435
Ph: (423) 666-0030 |
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