Shannon Doyle Tiedeken, MD in Glen Mills, PA

Shannon Doyle Tiedeken, MD is a medicare enrolled "Pediatrics" physician in Glen Mills, Pennsylvania. Her current practice location is 101 Applied Bank Blvd Ste 11, Nemours Dupont Pediatrics, Glen Mills Urgent Care, Glen Mills, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 800-8630.

Shannon Doyle Tiedeken is licensed to practice in Pennsylvania (license number MD454113) 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 1225395999.

Contact Information

	Shannon Doyle Tiedeken, MD
	101 Applied Bank Blvd Ste 11, Nemours Dupont Pediatrics, Glen Mills Urgent Care, Glen Mills, PA 19342-3501
	(484) 800-8630
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Doyle Tiedeken
Gender	Female
Speciality	Pediatrics
Location	101 Applied Bank Blvd Ste 11, Glen Mills, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225395999
Provider Enumeration Date: 04/18/2012
Last Update Date: 03/17/2017

Medicare PECOS Information:

PECOS PAC ID: 3072745728
Enrollment ID: I20140410001330

Medical Identifiers

Medical identifiers for Shannon Doyle Tiedeken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225395999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD454113 (Pennsylvania)	Primary

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. Shannon Doyle Tiedeken 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
Shannon Doyle Tiedeken, MD Po Box 191, Provider Enrollment Department, Rockland, DE 19732-0191 Ph: (302) 651-6212	Shannon Doyle Tiedeken, MD 101 Applied Bank Blvd Ste 11, Nemours Dupont Pediatrics, Glen Mills Urgent Care, Glen Mills, PA 19342-3501 Ph: (484) 800-8630

Reviews and Comments

Pediatrics Doctors in Glen Mills, PA

Dr. Charles Schubert, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2405 Coventry Ln, Glen Mills, PA 19342 Phone: 610-564-6411
Kathleen Marie Gallatig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1766 Wilmington Pike, Glen Mills, PA 19342 Phone: 610-358-2778 Fax: 610-358-3508
Dr. Meghan Mary Brooks, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1788 Wilmington Pike Ste 2200, Glen Mills, PA 19342 Phone: 610-459-8044 Fax: 610-558-1425
Una Brewer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1766 Wilmington Pike, Glen Mills, PA 19342 Phone: 610-358-2778 Fax: 610-358-3508
Dr. Kai Adia Turner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Applied Bank Blvd Ste 11, Glen Mills, PA 19342 Phone: 484-800-8630 Fax: 484-800-8635
Dr. Bethany Kutz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1766 Wilmington Pike, Glen Mills, PA 19342 Phone: 610-358-2778 Fax: 610-358-3508

Shannon Doyle Tiedeken, MD - Medicare Pediatrics in Glen Mills, PA