Dr Allan Don Tiedrich, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Plainfield, New Jersey. His current practice location is
1304 South Avenue, Plainfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(908) 769-7999.
Dr Allan Don Tiedrich is licensed to practice in New Jersey (license number MA41589) 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 1174690242.
Physician's Profile
| Full Name | Dr Allan Don Tiedrich |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1304 South Avenue, Plainfield, New Jersey |
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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: 1174690242
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779625165
- Enrollment ID: I20100122000731
Medical Identifiers
Medical identifiers for Dr Allan Don Tiedrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174690242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | MA41589 (New Jersey) | 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. Dr Allan Don Tiedrich allows following entities to bill medicare on his behalf.
| Entity Name | Allan D. Tiedrich, M.d. P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053642538 PECOS PAC ID: 4587799499 Enrollment ID: O20100317000701 |
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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. Dr Allan Don Tiedrich 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 Allan Don Tiedrich, MD 1304 South Avenue, Plainfield, NJ 07062 Ph: (908) 769-7999 | Dr Allan Don Tiedrich, MD 1304 South Avenue, Plainfield, NJ 07062 Ph: (908) 769-7999 |
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