Michael Tiideberg, - Medicare Nurse Practitioner in Canyon Lake, CA

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Michael Tiideberg, is a medicare enrolled "Nurse Practitioner - Family" in Canyon Lake, California. His current practice location is 31630 Railroad Canyon Rd Ste 4, Canyon Lake, California. You can reach out to his office (for appointments etc.) via phone at (951) 837-6980.

Michael Tiideberg is licensed to practice in California (license number 95009382) 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 1538644521.

Contact Information

Michael Tiideberg,
31630 Railroad Canyon Rd Ste 4,
Canyon Lake, CA 92587-9478
(951) 837-6980
Not Available

Map and Direction




Provider's Profile

Full NameMichael Tiideberg
GenderMale
SpecialityNurse Practitioner - Family
Location31630 Railroad Canyon Rd Ste 4, Canyon Lake, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538644521
  • Provider Enumeration Date: 09/26/2018
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153750096
  • Enrollment ID: I20200329000472

Medical Identifiers

Medical identifiers for Michael Tiideberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538644521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95009382 (California)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. Michael Tiideberg allows following entities to bill medicare on his behalf.
Entity NameApex Healthcare Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447455423
PECOS PAC ID: 2860396306
Enrollment ID: O20041223000318
Entity NameSeven Star Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710580808
PECOS PAC ID: 4789091026
Enrollment ID: O20210401001919
Entity NameSeven Star Hospital Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043813140
PECOS PAC ID: 4789083338
Enrollment ID: O20210601002852

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. Michael Tiideberg 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 AddressPractice Location Address
Michael Tiideberg,
22724 Lighthouse Dr,
Canyon Lake, CA 92587-6904

Ph: (951) 244-1434		Michael Tiideberg,
31630 Railroad Canyon Rd Ste 4,
Canyon Lake, CA 92587-9478

Ph: (951) 837-6980

Reviews and Comments


Nurse Practitioner Nurses in Canyon Lake, CA

Dr. Hannah E Fraley, PHD, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 23283 Canyon Lake Dr S, Canyon Lake, CA 92587
Phone: 951-387-0782    Fax: 951-639-6087
Ms. Valerie Lynn Spalding, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 29998 Windward Dr, Canyon Lake, CA 92587
Phone: 951-893-8212    
Cyril Morgan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 28921 Yosemite Pl, Canyon Lake, CA 92587
Phone: 949-892-0131    
Karen Elaine Brabant, MS, ACNP-BC,CNS
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 29832 Redwood Dr, Canyon Lake, CA 92587
Phone: 951-442-5467    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.