Tamiru Ertiro Tumdedo, MD in Manitowoc, WI - Medicare Internal Medicine

Tamiru Ertiro Tumdedo, MD is a medicare enrolled "Internal Medicine" physician in Manitowoc, Wisconsin. His current practice location is 2300 Western Ave, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 320-2011.

Tamiru Ertiro Tumdedo is licensed to practice in Wisconsin (license number 82466) 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 1164085031.

Contact Information

	Tamiru Ertiro Tumdedo, MD
	2300 Western Ave, Manitowoc, WI 54220-3712
	(920) 320-2011
	Not Available

Map and Direction

Physician's Profile

Full Name	Tamiru Ertiro Tumdedo
Gender	Male
Speciality	Internal Medicine
Location	2300 Western Ave, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164085031
Provider Enumeration Date: 04/17/2019
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 5496100893
Enrollment ID: I20231004002374

Medical Identifiers

Medical identifiers for Tamiru Ertiro Tumdedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164085031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	82466 (Wisconsin)	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. Tamiru Ertiro Tumdedo allows following entities to bill medicare on his behalf.

Entity Name	Froedtert Manitowoc Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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. Tamiru Ertiro Tumdedo 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
Tamiru Ertiro Tumdedo, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (651) 808-1905	Tamiru Ertiro Tumdedo, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-2011

Reviews and Comments

Internal Medicine Doctors in Manitowoc, WI

Vladimir N Swerchowsky, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000
Mary A Govier, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Manitowoc, WI 54220 Phone: 920-320-6212 Fax: 920-684-5548
Dr. Pooja Bharat Patel, MD, MBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 262-505-9131
Dr. Tresa A Teehan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Reed Ave, Manitowoc, WI 54221 Phone: 920-682-8841 Fax: 920-686-5250
Dr. Michael J Rosenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000
Matthew Gentile, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 Fax: 920-320-3049

Tamiru Ertiro Tumdedo, MD - Medicare Internal Medicine in Manitowoc, WI