Dr Jonathan Carl Tiemann, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Saint Joseph, Michigan. His current practice location is
1234 Napier Ave, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 983-8300.
Dr Jonathan Carl Tiemann is licensed to practice in * (Not Available) (license number ) 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 1437732708.
Physician's Profile
Full Name | Dr Jonathan Carl Tiemann |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1234 Napier Ave, Saint Joseph, Michigan |
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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: 1437732708
- Provider Enumeration Date: 05/04/2021
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012362163
- Enrollment ID: I20231020001770
Medical Identifiers
Medical identifiers for Dr Jonathan Carl Tiemann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437732708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 02007369A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Dr Jonathan Carl Tiemann allows following entities to bill medicare on his behalf.
Entity Name | Clarksville Emergency Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
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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 Jonathan Carl Tiemann 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 Jonathan Carl Tiemann, DO 23328 Barfield Dr, Valencia, CA 91354-1923 Ph: () - | Dr Jonathan Carl Tiemann, DO 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8300 |
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