Kiiri Tamm Tietjens, DDS - Medicare Dentist in Bourbonnais, IL

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Kiiri Tamm Tietjens, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Bourbonnais, Illinois. Her current practice location is 750 Almar Pkwy, Suite 102, Bourbonnais, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 939-7136.

Kiiri Tamm Tietjens is licensed to practice in Illinois (license number ) 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 1659435253.

Contact Information

Kiiri Tamm Tietjens, DDS
750 Almar Pkwy, Suite 102,
Bourbonnais, IL 60914-2315
(815) 939-7136
(815) 939-9820

Map and Direction




Healthcare Provider's Profile

Full NameKiiri Tamm Tietjens
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location750 Almar Pkwy, Bourbonnais, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659435253
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2567561731
  • Enrollment ID: I20070629000122

Medical Identifiers

Medical identifiers for Kiiri Tamm Tietjens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659435253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery (Illinois)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. Kiiri Tamm Tietjens allows following entities to bill medicare on her behalf.
Entity NameDrs. Slaby, Adams And Tietjens, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891843637
PECOS PAC ID: 4587763750
Enrollment ID: O20070628000567

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. Kiiri Tamm Tietjens 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 AddressPractice Location Address
Kiiri Tamm Tietjens, DDS
750 Almar Pkwy, Suite 102,
Bourbonnais, IL 60914-2315

Ph: (815) 939-7136		Kiiri Tamm Tietjens, DDS
750 Almar Pkwy, Suite 102,
Bourbonnais, IL 60914-2315

Ph: (815) 939-7136

Reviews and Comments


Dentist in Bourbonnais, IL

Dr. Robert Felix Chavez, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 750 Almar Pkwy Ste 104, Bourbonnais, IL 60914
Phone: 815-933-8283    Fax: 815-933-8283
Frederick P Waldschmidt, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 750 Almar Pkwy, Suite 101, Bourbonnais, IL 60914
Phone: 815-932-5221    Fax: 815-932-5269
Dr. Niveditha Rajagopalan, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Il-50, Bourbonnais, IL 60914
Phone: 815-348-9281    
Dr. Samuel Osobu, D.M.D
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2034 N State Route 50, Bourbonnais, IL 60914
Phone: 815-929-0222    
Dina Rashid, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2034 N State Route 50, Bourbonnais, IL 60914
Phone: 815-929-0222    
Zachary T. Frazier, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 376 Larry Power Rd, Bourbonnais, IL 60914
Phone: 815-802-1217    
Dr. Bernard Eugene Ryan Ii, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 9 Briarcliff Professional Center, Suite D, Bourbonnais, IL 60914
Phone: 815-932-9695    Fax: 815-929-0582

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.