Dr Phillip J Tietbohl, PHD in Wyomissing, PA - Medicare Clinical Psychologist Provider

Dr Phillip J Tietbohl, PHD is a medicare enrolled "Psychologist - Clinical" provider in Wyomissing, Pennsylvania. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Shoudt And Reilly Psychological Services, Llc and his current practice location is 232 Logan Ave, Wyomissing, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 741-9776.

Dr Phillip J Tietbohl is licensed to practice in Pennsylvania (license number PS008196L) 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 1922106715.

Contact Information

	Dr Phillip J Tietbohl, PHD
	232 Logan Ave, Wyomissing, PA 19610-2673
	(610) 741-9776
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Phillip J Tietbohl
Gender	Male
Speciality	Clinical Psychologist
Experience	30 Years
Location	232 Logan Ave, Wyomissing, Pennsylvania
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 Phillip J Tietbohl graduated from medical school in 1994

NPI Data:

NPI Number: 1922106715
Provider Enumeration Date: 09/20/2006
Last Update Date: 02/03/2020

Medicare PECOS Information:

PECOS PAC ID: 9335101831
Enrollment ID: I20041027000978

Medical Identifiers

Medical identifiers for Dr Phillip J Tietbohl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922106715	NPI	-	NPPES
001847159-0008	Medicaid	PA
001847159-0006	Medicaid	PA
001847159-0009	Medicaid	PA
001847159-0012	Medicaid	PA
001847159-0013	Medicaid	PA
001847159-0007	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	PS008196L (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shoudt And Reilly Psychological Services, Llc	5698729457	5

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 Phillip J Tietbohl allows following entities to bill medicare on his behalf.

Entity Name	Shoudt & Reilly Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841381142 PECOS PAC ID: 5698729457 Enrollment ID: O20050304000503

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 Phillip J Tietbohl 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 Phillip J Tietbohl, PHD 232 Logan Ave, Wyomissing, PA 19610-2673 Ph: (610) 413-1739	Dr Phillip J Tietbohl, PHD 232 Logan Ave, Wyomissing, PA 19610-2673 Ph: (610) 741-9776

Reviews and Comments

Psychologist in Wyomissing, PA

Dr. Janine S York, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1100 Berkshire Blvd Ste 201, Wyomissing, PA 19610 Phone: 484-877-5252
Joseph Lesko, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2201 Ridgewood Rd Ste 400, Wyomissing, PA 19610 Phone: 610-378-9601 Fax: 610-378-9061
Aimee N Adams, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 Ridgewood Rd, Suite 400, Wyomissing, PA 19610 Phone: 610-378-9601 Fax: 610-378-9061
Meghan Grubb, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 Ridgewood Rd Ste 400, Wyomissing, PA 19610 Phone: 610-378-9601
Jennifer L. Tzoumas, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2201 Ridgewood Road, Suite 400, Wyomissing, PA 19610 Phone: 610-378-9601 Fax: 610-378-3610
Ms. Michelle Leoma Coleman, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 2802 Papermill Rd, Post Acute Care Center, Wyomissing, PA 19610 Phone: 484-628-2542 Fax: 484-628-2688
Timothy E Ring, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 220 N Park Rd Bldg 5, Wyomissing, PA 19610 Phone: 610-823-7799

Dr Phillip J Tietbohl, PHD - Medicare Psychologist in Wyomissing, PA