Mr Nathan Tiedeman, DNP, FNP, RN - Medicare Nurse Practitioner in Sisseton, SD

Mr Nathan Tiedeman, DNP, FNP, RN is a medicare enrolled "Nurse Practitioner - Family" in Sisseton, South Dakota. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Glacial Ridge Hospital District and his current practice location is 205 Orchard Dr, Sisseton, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 698-7647.

Mr Nathan Tiedeman is licensed to practice in South Dakota (license number CP001093) 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 1285083436.

Contact Information

Mr Nathan Tiedeman, DNP, FNP, RN
205 Orchard Dr,
Sisseton, SD 57262-2312
(605) 698-7647
Not Available



Provider's Profile

Full NameMr Nathan Tiedeman
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location205 Orchard Dr, Sisseton, South Dakota
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:
  • Mr Nathan Tiedeman graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1285083436
  • Provider Enumeration Date: 06/08/2016
  • Last Update Date: 06/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1153613906
  • Enrollment ID: I20210505001615

Medical Identifiers

Medical identifiers for Mr Nathan Tiedeman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285083436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP001093 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Glacial Ridge HospitalGlenwood, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Glacial Ridge Hospital District529478919444

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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. Mr Nathan Tiedeman allows following entities to bill medicare on his behalf.
Entity NameGlacial Ridge Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255348223
PECOS PAC ID: 5294789194
Enrollment ID: O20050719000315

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Entity NameGlacial Ridge Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538178520
PECOS PAC ID: 5294789194
Enrollment ID: O20061104000464

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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. Mr Nathan Tiedeman 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
Mr Nathan Tiedeman, DNP, FNP, RN
205 Orchard Dr,
Sisseton, SD 57262-2312

Ph: (605) 698-7647
Mr Nathan Tiedeman, DNP, FNP, RN
205 Orchard Dr,
Sisseton, SD 57262-2312

Ph: (605) 698-7647

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Nurse Practitioner Nurses in Sisseton, SD

Faith Ann Phillips, DNP, RNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262
Phone: 605-698-7606    
Mr. Robert Michael Keller Jr., ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5 E Chestnut St, Sisseton, SD 57262
Phone: 605-698-7606    
Jay S Guikema, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262
Phone: 056-987-6066    
Ms. Katherine Joan Mackenzie, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262
Phone: 605-698-7606    
Ms. Carmen Maria Redlin, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262
Phone: 605-698-7606    
Tina E Evenson, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262
Phone: 605-698-7606    
Tenecia Mason,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262
Phone: 605-698-7606    

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