Dr Coral Lynn Tieu, MD is a medicare enrolled "Otolaryngology" physician in Prosser, Washington. Her current practice location is
820 Memorial St Ste 3, Prosser, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 786-5599.
Dr Coral Lynn Tieu is licensed to practice in Illinois (license number 125-061240) 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 1649525585.
Physician's Profile
| Full Name | Dr Coral Lynn Tieu |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Location | 820 Memorial St Ste 3, Prosser, Washington |
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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: 1649525585
- Provider Enumeration Date: 07/17/2012
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870733272
- Enrollment ID: I20171003004694
Medical Identifiers
Medical identifiers for Dr Coral Lynn Tieu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649525585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 125-061240 (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. Dr Coral Lynn Tieu allows following entities to bill medicare on her behalf.
| Entity Name | Prosser Public Hospital District Of Benton County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20040120000974 |
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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 Coral Lynn Tieu 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 Coral Lynn Tieu, MD 723 Memorial St, Prosser, WA 99350-1524 Ph: (509) 786-2222 | Dr Coral Lynn Tieu, MD 820 Memorial St Ste 3, Prosser, WA 99350-2504 Ph: (509) 786-5599 |
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