Spencer Tietjen, AUD - Medicare Audiologist in Logan, UT

Spencer Tietjen, AUD is a medicare enrolled "Audiologist" provider in Logan, Utah. His current practice location is 2245 N 400 E, Ste 301, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-7880.

Spencer Tietjen is licensed to practice in * (Not Available) (license number ) 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 1851699003.

Contact Information

Spencer Tietjen, AUD
2245 N 400 E, Ste 301,
Logan, UT 84341-1892
(435) 753-7880
Not Available



Healthcare Provider's Profile

Full NameSpencer Tietjen
GenderMale
SpecialityAudiologist
Location2245 N 400 E, Logan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851699003
  • Provider Enumeration Date: 03/11/2011
  • Last Update Date: 06/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921271958
  • Enrollment ID: I20111107000790

Medical Identifiers

Medical identifiers for Spencer Tietjen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851699003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist (* (Not Available))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. Spencer Tietjen allows following entities to bill medicare on his behalf.
Provider NameCache Valley Ear Nose & Throat, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548303795
PECOS PAC ID: 5193128882
Enrollment ID: O20220216002175

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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. Spencer Tietjen 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
Spencer Tietjen, AUD
2245 N 400 E, Ste 301,
Logan, UT 84341-1892

Ph: (435) 753-7880
Spencer Tietjen, AUD
2245 N 400 E, Ste 301,
Logan, UT 84341-1892

Ph: (435) 753-7880

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Audiologist in Logan, UT

All American Hearing
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 95 W 100 S, Suite 320, Logan, UT 84321
Phone: 801-334-0421    
Dr. Jeffery Blythe Larsen, PH.D., CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Old Main Hl, Comd Department, Umc 1000, Logan, UT 84322
Phone: 435-797-1390    
Dr. Heather Jo Jensen, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: Usu Hearing Clinic, 1000 Old Main Hill, Logan, UT 84322
Phone: 435-797-1390    Fax: 435-797-0221
Tiffany Shelton, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Old Main Hl, Logan, UT 84322
Phone: 435-797-1346    Fax: 435-797-0221
Andrew Leon Cobabe, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1950    Fax: 435-792-1615
Dr. Andrea Suzette Page, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 6410 Old Main Hl, Logan, UT 84322
Phone: 435-797-1374    
Mitchell R Udy,
Audiologist
Medicare: Medicare Enrolled
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521

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