Mrs Shannon Liedquist Tieman, CRNP in Glen Burnie, MD

Mrs Shannon Liedquist Tieman, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glen Burnie, Maryland. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightwell Health Llc and her current practice location is 7310 Ritchie Hwy Ste 516, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (844) 387-7469.

Mrs Shannon Liedquist Tieman is licensed to practice in Maryland (license number R214716) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326436254.

Contact Information

	Mrs Shannon Liedquist Tieman, CRNP
	7310 Ritchie Hwy Ste 516, Glen Burnie, MD 21061-3099
	(844) 387-7469
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Liedquist Tieman
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	7310 Ritchie Hwy Ste 516, Glen Burnie, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shannon Liedquist Tieman graduated from nursing school in 2014

NPI Data:

NPI Number: 1326436254
Provider Enumeration Date: 12/30/2014
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 0547587776
Enrollment ID: I20150326001349

Medical Identifiers

Medical identifiers for Mrs Shannon Liedquist Tieman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326436254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R214716 (Maryland)	Primary
363LA2200X	Nurse Practitioner - Adult Health	R214716 (Maryland)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brightwell Health Llc	8224437397	6

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. Mrs Shannon Liedquist Tieman allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Maryland Spine And Brain Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639359508 PECOS PAC ID: 0547223216 Enrollment ID: O20041104000764

Entity Name	Brightwell Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215515408 PECOS PAC ID: 8224437397 Enrollment ID: O20210521000216

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. Mrs Shannon Liedquist 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
Mrs Shannon Liedquist Tieman, CRNP 7310 Ritchie Hwy Ste 516, Glen Burnie, MD 21061-3099 Ph: () -	Mrs Shannon Liedquist Tieman, CRNP 7310 Ritchie Hwy Ste 516, Glen Burnie, MD 21061-3099 Ph: (844) 387-7469

Reviews and Comments

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Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050
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Mrs Shannon Liedquist Tieman, CRNP - Medicare Nurse Practitioner in Glen Burnie, MD