Dr Michelle Bane Tiller, PSYD is a medicare enrolled "Psychologist" provider in Harrison City, Pennsylvania. Her current practice location is
3777 Route 130 Suite 2, Harrison City, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(412) 378-1058.
Dr Michelle Bane Tiller is licensed to practice in Pennsylvania (license number PS015111) 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 1619082476.
Healthcare Provider's Profile
| Full Name | Dr Michelle Bane Tiller |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 3777 Route 130 Suite 2, Harrison City, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619082476
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 10/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971721226
- Enrollment ID: I20140827002526
Medical Identifiers
Medical identifiers for Dr Michelle Bane Tiller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619082476 | NPI | - | NPPES |
| SA056569 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PS015111 (Pennsylvania) | 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. Dr Michelle Bane Tiller allows following entities to bill medicare on her behalf.
| Entity Name | Positive Directions Psychological Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376252403
PECOS PAC ID: 8022470764
Enrollment ID: O20230814000629 |
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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 Michelle Bane Tiller 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 Michelle Bane Tiller, PSYD
3777 Route 130 Suite 2,
Harrison City, PA 15636-1260
Ph: (412) 378-1058 | Dr Michelle Bane Tiller, PSYD
3777 Route 130 Suite 2,
Harrison City, PA 15636-1260
Ph: (412) 378-1058 |
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