Dr William Harmon Tettelbach, MD in Salt Lake City, UT

Dr William Harmon Tettelbach, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Salt Lake City, Utah. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Scenic Way Llc, Silverton Group Llc and his current practice location is 1160 E 3900 S Ste G175, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (012) 687-4058.

Dr William Harmon Tettelbach is licensed to practice in Utah (license number 351005-1205) 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 1336143361.

Contact Information

	Dr William Harmon Tettelbach, MD
	1160 E 3900 S Ste G175, Salt Lake City, UT 84124-1202
	(012) 687-4058
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr William Harmon Tettelbach
Gender	Male
Speciality	Infectious Disease
Experience	29 Years
Location	1160 E 3900 S Ste G175, Salt Lake City, Utah
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:

Dr William Harmon Tettelbach attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1995

NPI Data:

NPI Number: 1336143361
Provider Enumeration Date: 06/08/2005
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1254368194
Enrollment ID: I20051015000078

Medical Identifiers

Medical identifiers for Dr William Harmon Tettelbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336143361	NPI	-	NPPES
3510051205	Other	UT	UTAH LICENSE
3714443	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	MD 37898 (Tennessee)	Secondary
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	351005-1205 (Utah)	Secondary
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	MD0000037898 (Tennessee)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	351005-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scenic Way Llc	1355786765	6
Silverton Group Llc	5395884019	9

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. Dr William Harmon Tettelbach allows following entities to bill medicare on his behalf.

Entity Name	Silverton Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629303169 PECOS PAC ID: 5395884019 Enrollment ID: O20091209000187

Entity Name	Scenic Way Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952175127 PECOS PAC ID: 1355786765 Enrollment ID: O20240226000989

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. Dr William Harmon Tettelbach 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
Dr William Harmon Tettelbach, MD Po Box 100253, Atlanta, GA 30384-0253 Ph: () -	Dr William Harmon Tettelbach, MD 1160 E 3900 S Ste G175, Salt Lake City, UT 84124-1202 Ph: (012) 687-4058

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Infectious Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Dr William Harmon Tettelbach, MD - Medicare Infectious Disease in Salt Lake City, UT