Dr Daniel Timothy Tetzlaff, PSYD, JD in Sault Sainte Marie, MI - Medicare Clinical Psychologist Provider

Dr Daniel Timothy Tetzlaff, PSYD, JD is a medicare enrolled "Psychologist - Clinical" provider in Sault Sainte Marie, Michigan. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mymichigan Medical Center Midland, Mymichigan Medical Center Sault and his current practice location is 605 E 7th Ave, Sault Sainte Marie, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 635-7270.

Dr Daniel Timothy Tetzlaff is licensed to practice in Michigan (license number 6301015059) 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 1053685487.

Contact Information

	Dr Daniel Timothy Tetzlaff, PSYD, JD
	605 E 7th Ave, Sault Sainte Marie, MI 49783-3111
	(906) 635-7270
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Daniel Timothy Tetzlaff
Gender	Male
Speciality	Clinical Psychologist
Experience	25 Years
Location	605 E 7th Ave, Sault Sainte Marie, Michigan
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 Daniel Timothy Tetzlaff graduated from medical school in 1999

NPI Data:

NPI Number: 1053685487
Provider Enumeration Date: 03/02/2012
Last Update Date: 03/02/2012

Medicare PECOS Information:

PECOS PAC ID: 0840555629
Enrollment ID: I20180526000027

Medical Identifiers

Medical identifiers for Dr Daniel Timothy Tetzlaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053685487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301015059 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chippewa County War Memorial Hospital	Sault sainte marie, MI	Hospital
Midmichigan Medical Center-midland	Midland, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mymichigan Medical Center Midland	2264323633	362
Mymichigan Medical Center Sault	7315936481	98

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 Daniel Timothy Tetzlaff allows following entities to bill medicare on his behalf.

Entity Name	Mymichigan Medical Center Midland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137

Entity Name	Mymichigan Medical Center Alpena
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508332792 PECOS PAC ID: 8527969922 Enrollment ID: O20040415000495

Entity Name	Mymichigan Medical Center Sault
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699832279 PECOS PAC ID: 7315936481 Enrollment ID: O20040512000662

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 Daniel Timothy Tetzlaff 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 Daniel Timothy Tetzlaff, PSYD, JD 605 E 7th Ave, Sault Sainte Marie, MI 49783-3111 Ph: (906) 635-7270	Dr Daniel Timothy Tetzlaff, PSYD, JD 605 E 7th Ave, Sault Sainte Marie, MI 49783-3111 Ph: (906) 635-7270

Reviews and Comments

Psychologist in Sault Sainte Marie, MI

Barbara Weber, L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783 Phone: 906-632-2805
Earl Rorick, L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783 Phone: 906-632-2805
Dr. David Lloyd Runyan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 545 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-3001 Fax: 906-632-3015
Mrs. Jacey Lynn Cook, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th Ave, Suite 9, Sault Sainte Marie, MI 49783 Phone: 906-635-7270 Fax: 906-635-7688
Gail Becker, L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783 Phone: 906-632-2805
Kyle Damon Wood, M.S., LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th Ave, Suite 9, Sault Sainte Marie, MI 49783 Phone: 906-635-7270 Fax: 906-635-7688

Dr Daniel Timothy Tetzlaff, PSYD, JD - Medicare Psychologist in Sault Sainte Marie, MI