Lisa Marie Tetzlaff, FNP-C in Newberry, MI - Medicare Nurse Practitioner

Lisa Marie Tetzlaff, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Newberry, Michigan. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mymichigan Medical Center Sault and her current practice location is 700 Newberry Ave, Newberry, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 293-3226.

Lisa Marie Tetzlaff is licensed to practice in Michigan (license number 4704267555) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174854400.

Contact Information

	Lisa Marie Tetzlaff, FNP-C
	700 Newberry Ave, Newberry, MI 49868-1503
	(906) 293-3226
	(877) 743-0490

Map and Direction

Provider's Profile

Full Name	Lisa Marie Tetzlaff
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	700 Newberry Ave, Newberry, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Marie Tetzlaff graduated from nursing school in 2012

NPI Data:

NPI Number: 1174854400
Provider Enumeration Date: 01/27/2010
Last Update Date: 07/16/2014

Medicare PECOS Information:

PECOS PAC ID: 7517263866
Enrollment ID: I20160311001465

Medical Identifiers

Medical identifiers for Lisa Marie Tetzlaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174854400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WS0200X	Registered Nurse - School	L1-0037352 (Delaware)	Secondary
363LF0000X	Nurse Practitioner - Family	4704267555 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chippewa County War Memorial Hospital	Sault sainte marie, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mymichigan Medical Center Sault	7315936481	98

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. Lisa Marie Tetzlaff allows following entities to bill medicare on her behalf.

Entity Name	Mymichigan Medical Center Sault
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699832279 PECOS PAC ID: 7315936481 Enrollment ID: O20040512000662

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. Lisa Marie Tetzlaff 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
Lisa Marie Tetzlaff, FNP-C 9789 W Baird St, Brimley, MI 49715-9291 Ph: (906) 203-6042	Lisa Marie Tetzlaff, FNP-C 700 Newberry Ave, Newberry, MI 49868-1503 Ph: (906) 293-3226

Reviews and Comments

Nurse Practitioner Nurses in Newberry, MI

Morgan Gelinas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200
Krista Groll, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9233 Fax: 906-293-9285
Danette Lynn Martyn, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7913 County Road 385, Newberry, MI 49868 Phone: 906-322-1806
Brook Lynn Dake, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200
Matthew John Shullick, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Newberry Ave, Newberry, MI 49868 Phone: 906-293-6200
Carol A Norman, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200 Fax: 906-586-3264

Lisa Marie Tetzlaff, FNP-C - Medicare Nurse Practitioner in Newberry, MI