Dr Daniel Timothy Tetzlaff, PSYD, JD - Medicare Psychologist in Sault Sainte Marie, MI

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Dr Daniel Timothy Tetzlaff, PSYD, JD is a medicare enrolled "Psychologist - Clinical" provider in Sault Sainte Marie, Michigan. He graduated from medical school in 1999 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mymichigan Medical Center Midland, Mymichigan Medical Center Sault, Mymichigan Medical Center Alpena and his current practice location is 605 E 7th Ave, Sault Sainte Marie, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 635-7270.

Dr Daniel Timothy Tetzlaff is licensed to practice in Michigan (license number 6301015059) 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 1053685487.

Contact Information

Dr Daniel Timothy Tetzlaff, PSYD, JD
605 E 7th Ave,
Sault Sainte Marie, MI 49783-3111
(906) 635-7270
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Daniel Timothy Tetzlaff
GenderMale
SpecialityClinical Psychologist
Experience27 Years
Location605 E 7th Ave, Sault Sainte Marie, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daniel Timothy Tetzlaff graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1053685487
  • Provider Enumeration Date: 03/02/2012
  • Last Update Date: 03/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0840555629
  • Enrollment ID: I20180526000027

Medical Identifiers

Medical identifiers for Dr Daniel Timothy Tetzlaff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053685487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301015059 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chippewa County War Memorial HospitalSault sainte marie, MIHospital
Midmichigan Medical Center - AlpenaAlpena, MIHospital
Midmichigan Medical Center-midlandMidland, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mymichigan Medical Center Midland2264323633414
Mymichigan Medical Center Sault731593648188
Mymichigan Medical Center Alpena852796992296

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 Daniel Timothy Tetzlaff allows following entities to bill medicare on his behalf.
Entity NameMymichigan Medical Center Alma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568914422
PECOS PAC ID: 3375451404
Enrollment ID: O20040202000975
Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889490
PECOS PAC ID: 2264323633
Enrollment ID: O20040324000137
Entity NameMymichigan Medical Center Alpena
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508332792
PECOS PAC ID: 8527969922
Enrollment ID: O20040415000495
Entity NameMymichigan Medical Center Sault
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457305674
PECOS PAC ID: 7315936481
Enrollment ID: O20040512000662
Entity NameMymichigan Medical Center West Branch
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538566765
PECOS PAC ID: 7214251081
Enrollment ID: O20160714002424

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 Daniel Timothy 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 AddressPractice Location Address
Dr Daniel Timothy Tetzlaff, PSYD, JD
605 E 7th Ave,
Sault Sainte Marie, MI 49783-3111

Ph: (906) 635-7270		Dr Daniel Timothy Tetzlaff, PSYD, JD
605 E 7th Ave,
Sault Sainte Marie, MI 49783-3111

Ph: (906) 635-7270

Reviews and Comments


Psychologist in Sault Sainte Marie, MI

Barbara Weber, L.P.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783
Phone: 906-632-2805    
Earl Rorick, L.L.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783
Phone: 906-632-2805    
Dr. David Lloyd Runyan, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 545 Ashmun St, Sault Sainte Marie, MI 49783
Phone: 906-632-3001    Fax: 906-632-3015
Mrs. Jacey Lynn Cook, LLP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 605 E 7th Ave, Suite 9, Sault Sainte Marie, MI 49783
Phone: 906-635-7270    Fax: 906-635-7688
Gail Becker, L.L.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783
Phone: 906-632-2805    
Kyle Damon Wood, M.S., LLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 605 E 7th Ave, Suite 9, Sault Sainte Marie, MI 49783
Phone: 906-635-7270    Fax: 906-635-7688

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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).

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