Donald Dee Tietsema Iii, NP in Alamosa, CO - Medicare Nurse Practitioner

Donald Dee Tietsema Iii, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Alamosa, Colorado. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice San Luis Valley Community Mental Health Center and his current practice location is 8745 County Road 9 S, Alamosa, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 589-3671.

Donald Dee Tietsema Iii is licensed to practice in Colorado (license number 991309) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447652409.

Contact Information

	Donald Dee Tietsema Iii, NP
	8745 County Road 9 S, Alamosa, CO 81101-9610
	(719) 589-3671
	(719) 587-6824

Map and Direction

Provider's Profile

Full Name	Donald Dee Tietsema Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	8745 County Road 9 S, Alamosa, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Donald Dee Tietsema Iii graduated from nursing school in 2014

NPI Data:

NPI Number: 1447652409
Provider Enumeration Date: 09/22/2014
Last Update Date: 02/11/2021

Medicare PECOS Information:

PECOS PAC ID: 1759502990
Enrollment ID: I20141031001067

Medical Identifiers

Medical identifiers for Donald Dee Tietsema Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447652409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704274155 (Michigan)	Secondary
163W00000X	Registered Nurse	1627153 (Colorado)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	991309 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Luis Valley Health	Alamosa, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Luis Valley Community Mental Health Center	0345267779	16

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. Donald Dee Tietsema Iii allows following entities to bill medicare on his behalf.

Entity Name	San Luis Valley Community Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063406999 PECOS PAC ID: 0345267779 Enrollment ID: O20051025001036

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. Donald Dee Tietsema Iii 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
Donald Dee Tietsema Iii, NP 8745 County Road 9 S, Alamosa, CO 81101-9610 Ph: (719) 589-3671	Donald Dee Tietsema Iii, NP 8745 County Road 9 S, Alamosa, CO 81101-9610 Ph: (719) 589-3671

Reviews and Comments

Nurse Practitioner Nurses in Alamosa, CO

James Michael Crownover, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1710 1st St, Alamosa, CO 81101 Phone: 719-589-3658 Fax: 719-589-0997
Margaret Marie Storey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 422 4th St, Alamosa, CO 81101 Phone: 719-589-9639 Fax: 719-218-9770
Michelle Leona Valdez, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-8028 Fax: 719-589-8086
Vanessa Sonnen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1131 Main St, Alamosa, CO 81101 Phone: 719-589-2562
Mallori Linn Gariner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8153
Mrs. Laura Christine Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1131 Main St, Alamosa, CO 81101 Phone: 719-580-8630
Ms. Carla J Uran, MSN FNP C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 622 Del Sol Drive, Alamosa, CO 81101 Phone: 719-587-6800 Fax: 719-587-6819

Donald Dee Tietsema Iii, NP - Medicare Nurse Practitioner in Alamosa, CO