Thomas Tietjen, MD in Petoskey, MI - Medicare Internal Medicine

Thomas Tietjen, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Petoskey, Michigan. His current practice location is 560 W Mitchell St, Suite M40, Petoskey, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 487-2391.

Thomas Tietjen is licensed to practice in Michigan (license number TT077247) 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 1861553026.

Contact Information

	Thomas Tietjen, MD
	560 W Mitchell St, Suite M40, Petoskey, MI 49770-2278
	(231) 487-2391
	(231) 487-6513

Map and Direction

Physician's Profile

Full Name	Thomas Tietjen
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	560 W Mitchell St, Petoskey, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861553026
Provider Enumeration Date: 12/12/2006
Last Update Date: 12/24/2015

Medicare PECOS Information:

PECOS PAC ID: 7113918616
Enrollment ID: I20040522000288

Medical Identifiers

Medical identifiers for Thomas Tietjen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861553026	NPI	-	NPPES
1861553026	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	TT077247 (Michigan)	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. Thomas Tietjen allows following entities to bill medicare on his behalf.

Entity Name	Mackinac Straits Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157

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. Thomas Tietjen 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
Thomas Tietjen, MD 859 Surrey Ln, Petoskey, MI 49770-9310 Ph: (231) 838-4044	Thomas Tietjen, MD 560 W Mitchell St, Suite M40, Petoskey, MI 49770-2278 Ph: (231) 487-2391

Reviews and Comments

Internal Medicine Doctors in Petoskey, MI

Gary H Shaw, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-7303 Fax: 231-487-7313
Dr. Janean Haggins-dabney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-922-9270 Fax: 231-922-9271
Dr. Vira C Heise, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596
John L Diedrich, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596
Dr. Peter E. Levanovich, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 400, Petoskey, MI 49770 Phone: 231-487-2490 Fax: 231-487-6055
Dr. Kim Aikens, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 7336 Preserve Ct, Petoskey, MI 49770 Phone: 231-347-5265
Mark A Richmond, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596

Thomas Tietjen, MD - Medicare Internal Medicine in Petoskey, MI