Sarah A Tieman, MD is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" physician in Worthington, Indiana. Her current practice location is
102 E Main St, Worthington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 699-6092.
Sarah A Tieman is licensed to practice in Indiana (license number 01055106A) 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 1861486540.
Physician's Profile
| Full Name | Sarah A Tieman |
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| Gender | Female |
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| Speciality | Internal Medicine - Hospice And Palliative Medicine |
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| Location | 102 E Main St, Worthington, Indiana |
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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: 1861486540
- Provider Enumeration Date: 09/08/2005
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173672466
- Enrollment ID: I20090515000167
Medical Identifiers
Medical identifiers for Sarah A Tieman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861486540 | NPI | - | NPPES |
| 200383900A | Medicaid | IN | |
| 000000224576 | Other | IN | ANTHEM PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01055106A (Indiana) | Secondary |
| 208000000X | Pediatrics | 01055106A (Indiana) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 01055106A (Indiana) | 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. Sarah A Tieman allows following entities to bill medicare on her behalf.
| Entity Name | Healthnet Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780634964
PECOS PAC ID: 7214840933
Enrollment ID: O20031110000227 |
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| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556 |
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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. Sarah A Tieman 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 |
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Sarah A Tieman, MD
1185 N 1000 W,
Linton, IN 47441-5282
Ph: (812) 699-6092 | Sarah A Tieman, MD
102 E Main St,
Worthington, IN 47471-1603
Ph: (812) 699-6092 |
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