Tiara Dillworth, PHD in Seattle, WA - Medicare Psychologist Provider

Tiara Dillworth, PHD is a medicare enrolled "Psychologist - Rehabilitation" provider in Seattle, Washington. Her current practice location is 1959 Ne Pacific Street, Box 354944, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 598-4720.

Tiara Dillworth is licensed to practice in Washington (license number PY60155493) 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 1063841641.

Contact Information

	Tiara Dillworth, PHD
	1959 Ne Pacific Street, Box 354944, Seattle, WA 98195-0001
	(206) 598-4720
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiara Dillworth
Gender	Female
Speciality	Psychologist - Rehabilitation
Location	1959 Ne Pacific Street, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063841641
Provider Enumeration Date: 11/05/2013
Last Update Date: 06/20/2017

Medicare PECOS Information:

PECOS PAC ID: 7416183041
Enrollment ID: I20131203002241

Medical Identifiers

Medical identifiers for Tiara Dillworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063841641	NPI	-	NPPES
1063841641	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY60155493 (Washington)	Secondary
103TR0400X	Psychologist - Rehabilitation	PY60155493 (Washington)	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. Tiara Dillworth allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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. Tiara Dillworth 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
Tiara Dillworth, PHD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420	Tiara Dillworth, PHD 1959 Ne Pacific Street, Box 354944, Seattle, WA 98195-0001 Ph: (206) 598-4720

Reviews and Comments

Psychologist in Seattle, WA

Dr. Justin Benjamin Miller, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Katherine Evans Stanfill, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Westlake Ave N Ste 416, Seattle, WA 98109 Phone: 206-973-7262
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Dr. Elizabeth Tam Dexter-mazza, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5122 25th Ave Ne, Seattle, WA 98105 Phone: 206-779-1265
Dr. Jane Kate Harmon Jacobs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5410 California Ave Sw, Suite 201, Seattle, WA 98136 Phone: 206-683-6512
Karen Hope Weisbard Appel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5122 25th Ave Ne, Seattle, WA 98105 Phone: 206-525-6783

Tiara Dillworth, PHD - Medicare Psychologist in Seattle, WA