Allison Rose Tietjen, OTD in Keller, TX - Medicare Occupational Therapist Provider

Allison Rose Tietjen, OTD is a medicare enrolled "Occupational Therapist" provider in Keller, Texas. Her current practice location is 200 Country Brook Dr, Keller, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 562-3100.

Allison Rose Tietjen is licensed to practice in Texas (license number 122838) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083348346.

Contact Information

	Allison Rose Tietjen, OTD
	200 Country Brook Dr, Keller, TX 76248-2125
	(817) 562-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Allison Rose Tietjen
Gender	Female
Speciality	Occupational Therapist
Location	200 Country Brook Dr, Keller, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083348346
Provider Enumeration Date: 07/13/2022
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5597122085
Enrollment ID: I20230526000442

Medical Identifiers

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

Identifier	Type	State	Issuer
1083348346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	122838 (Texas)	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. Allison Rose Tietjen allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261

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. Allison Rose 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
Allison Rose Tietjen, OTD 7700 Caribou Ct, Fort Worth, TX 76137-5123 Ph: (402) 560-7060	Allison Rose Tietjen, OTD 200 Country Brook Dr, Keller, TX 76248-2125 Ph: (817) 562-3100

Reviews and Comments

Occupational Therapist in Keller, TX

Myka Goodrum, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1101 Keller Pkwy, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114
Mrs. Terra Anita Brown, OTR, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114
Mrs. Brandi Nelson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Medina Dr, Keller, TX 76248 Phone: 817-991-0489
Martha Maher Iskander, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Keller Pkwy, Keller, TX 76248 Phone: 817-562-3111
Koren K Johnson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Pate Orr Rd S, Keller, TX 76248 Phone: 817-337-0162 Fax: 817-337-0235
Mrs. Kristen C Mills, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114

Allison Rose Tietjen, OTD - Medicare Occupational Therapist in Keller, TX