Travis R Tiede, APRN in Clackamas, OR - Medicare Nurse Practitioner

Travis R Tiede, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clackamas, Oregon. His current practice location is 12360 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 303-4000.

Travis R Tiede is licensed to practice in Oregon (license number 10016365) 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 1962269332.

Contact Information

	Travis R Tiede, APRN
	12360 Se Sunnyside Rd, Clackamas, OR 97015-9320
	(503) 303-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis R Tiede
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12360 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962269332
Provider Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8820439672
Enrollment ID: I20240511000246

Medical Identifiers

Medical identifiers for Travis R Tiede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962269332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10016365 (Oregon)	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. Travis R Tiede allows following entities to bill medicare on his behalf.

Entity Name	Cascadia Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336196401 PECOS PAC ID: 7618873761 Enrollment ID: O20031209000991

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. Travis R Tiede 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
Travis R Tiede, APRN 11827 Se White Tail Dr, Happy Valley, OR 97086-4722 Ph: (612) 703-5277	Travis R Tiede, APRN 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 Ph: (503) 303-4000

Reviews and Comments

Nurse Practitioner Nurses in Clackamas, OR

Ms. Nancy Novig, CRNA, MS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3860
Sharon F Maxey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Trisha Mendoza Lopez, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Jennifer K.w. Ching, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Ms. Sunny Elizabeth St. Germain, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Amanda Ankeny, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015 Phone: 503-659-1694
Mrs. Kelcey Chilcott, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9290 Se Sunnybrook Blvd, 200, Clackamas, OR 97015 Phone: 503-659-1694

Travis R Tiede, APRN - Medicare Nurse Practitioner in Clackamas, OR