Ms Johanna Tietze, CSW is a medicare enrolled "Social Worker - Clinical" provider in Harrisburg, South Dakota. Her current practice location is
815 Lois Ln, Harrisburg, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 900-6345.
Ms Johanna Tietze is licensed to practice in * (Not Available) (license number 6510) 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 1568219806.
Healthcare Provider's Profile
Full Name | Ms Johanna Tietze |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 815 Lois Ln, Harrisburg, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568219806
- Provider Enumeration Date: 05/03/2024
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496282451
- Enrollment ID: I20250102002901
Medical Identifiers
Medical identifiers for Ms Johanna Tietze such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568219806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6510 (* (Not Available)) | 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. Ms Johanna Tietze allows following entities to bill medicare on her behalf.
Entity Name | Therapy Lawgic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033963624 PECOS PAC ID: 6305388869 Enrollment ID: O20240612000608 |
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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. Ms Johanna Tietze 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 |
Ms Johanna Tietze, CSW 815 Lois Ln, Harrisburg, SD 57032-2149 Ph: (605) 900-6345 | Ms Johanna Tietze, CSW 815 Lois Ln, Harrisburg, SD 57032-2149 Ph: (605) 900-6345 |
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