Dr Alicia Ellen Tisdale, PHD in West Bloomfield, MI - Medicare Clinical Psychologist Provider

Dr Alicia Ellen Tisdale, PHD is a medicare enrolled "Psychologist" provider in West Bloomfield, Michigan. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 5665 W Maple Rd, Suite A, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 626-8833.

Dr Alicia Ellen Tisdale is licensed to practice in Michigan (license number 6301003007) 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 1083622914.

Contact Information

	Dr Alicia Ellen Tisdale, PHD
	5665 W Maple Rd, Suite A, West Bloomfield, MI 48322-3741
	(248) 626-8833
	(248) 626-8836

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alicia Ellen Tisdale
Gender	Female
Speciality	Clinical Psychologist
Experience	36 Years
Location	5665 W Maple Rd, West Bloomfield, 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:

Dr Alicia Ellen Tisdale graduated from medical school in 1988

NPI Data:

NPI Number: 1083622914
Provider Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800926585
Enrollment ID: I20100607000096

Medical Identifiers

Medical identifiers for Dr Alicia Ellen Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083622914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301003007 (Michigan)	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 Alicia Ellen Tisdale allows following entities to bill medicare on her behalf.

Entity Name	Thomas Park M.d. Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881904605 PECOS PAC ID: 9032303813 Enrollment ID: O20101105000442

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 Alicia Ellen Tisdale 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 Alicia Ellen Tisdale, PHD 5101 Willow Pond Dr, West Bloomfield, MI 48323 Ph: (248) 706-1453	Dr Alicia Ellen Tisdale, PHD 5665 W Maple Rd, Suite A, West Bloomfield, MI 48322-3741 Ph: (248) 626-8833

Reviews and Comments

Psychologist in West Bloomfield, MI

Ms. Karen Bango, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2654 Fax: 248-592-2660
Daniel Simmons, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340
Emma Fay Kelly, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7035 Orchard Lake Rd Ste 800, West Bloomfield, MI 48322 Phone: 248-669-9500
Mrs. Joan Frances Lazar, MA, LLP, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6024 W Maple Rd, Suite 107, West Bloomfield, MI 48322 Phone: 248-489-1550 Fax: 248-489-9767
Dr. Katherine Ann Young, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1943 Windside, West Bloomfield, MI 48324 Phone: 248-681-5829
Kimberly Elizabeth Vanderby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5757 W Maple Rd Ste 800b, West Bloomfield, MI 48322 Phone: 586-574-5845

Dr Alicia Ellen Tisdale, PHD - Medicare Psychologist in West Bloomfield, MI