Dr Timothy Michael Tisdell, PSYD in Piedmont, CA

Dr Timothy Michael Tisdell, PSYD is a medicare enrolled "Counselor - Mental Health" provider in Piedmont, California. His current practice location is 1250 Grand Ave, Piedmont, California. You can reach out to his office (for appointments etc.) via phone at (510) 655-7880.

Dr Timothy Michael Tisdell is licensed to practice in California (license number PSY19828) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750588406.

Contact Information

	Dr Timothy Michael Tisdell, PSYD
	1250 Grand Ave, Piedmont, CA 94610-1002
	(510) 655-7880
	(510) 655-3379

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy Michael Tisdell
Gender	Male
Speciality	Counselor - Mental Health
Location	1250 Grand Ave, Piedmont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750588406
Provider Enumeration Date: 06/27/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7416253612
Enrollment ID: I20160315001148

Medical Identifiers

Medical identifiers for Dr Timothy Michael Tisdell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750588406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PSY19828 (California)	Primary

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 Timothy Michael Tisdell 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 Timothy Michael Tisdell, PSYD 1250 Grand Ave, Piedmont, CA 94610-1002 Ph: (510) 655-7880	Dr Timothy Michael Tisdell, PSYD 1250 Grand Ave, Piedmont, CA 94610-1002 Ph: (510) 655-7880

Reviews and Comments

Counselor in Piedmont, CA

Ms. Karen Michele Devaney, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Grand Ave, Piedmont, CA 94610 Phone: 510-655-7880 Fax: 510-655-3379
Dr. Mahima Muralidharan, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Grand Ave, Piedmont, CA 94610 Phone: 510-655-7880 Fax: 510-655-3379
Adrian Lloyd Willey, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Grand Ave, Piedmont, CA 94610 Phone: 510-655-7880 Fax: 510-655-3379
Dr. Yolanda Evangaline Braxton, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Grand Ave, Piedmont, CA 94610 Phone: 510-655-7880 Fax: 510-655-3379
Dr. Kristen Marie Carey, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Grand Ave, Piedmont, CA 94610 Phone: 510-655-7880 Fax: 510-655-3379
Ms. Elizabeth Marie Fitzgerald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Nova Dr, Piedmont, CA 94610 Phone: 510-508-5138
Amy Sharp, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Magnolia Ave, Piedmont, CA 94611 Phone: 510-594-2769

Dr Timothy Michael Tisdell, PSYD - Medicare Counselor in Piedmont, CA