Timothy N Tetzlaff (NPI# 1326040544, PAC ID# 0648258137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326040544 |
| PAC ID by PECOS | 0648258137 |
| Professional Enrollment ID | I20050310000129 |
| Full Name | Timothy N Tetzlaff |
| Organization Legal Name | RIVERSIDE MEDICAL ASSOCIATES, P.C. |
| Address |
560 Osborn Blvd Sault Sainte Marie MI 49783-1961 |
| Phone Number | 9066321800 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870571508 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230239 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 9066354460 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC |
| 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 | 9066321800 | RIVERSIDE MEDICAL ASSOCIATES, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | RIVERSIDE MEDICAL ASSOCIATES, P.C. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla A Behling | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Meghan M Hanna | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Terry L Malloy | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Paula R Nichols | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| John P Ockenfels | Family Medicine | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Robert H Mackie | Family Medicine | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Wendy Jamros | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Mary C Mcleod | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Street Address |
560 OSBORN BLVD |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip | 49783-1961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla A Behling | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Meghan M Hanna | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Terry L Malloy | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Paula R Nichols | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| John P Ockenfels | Family Medicine | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Robert H Mackie | Family Medicine | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Wendy Jamros | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Mary C Mcleod | Nurse Practitioner | Riverside Medical Associates, P.C. | 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Meehan Amo | Physician Assistant | Lake Superior State University | 650 W Easterday Blvd, Sault Ste Marie, MI 49783 |
| Rachel Ann Cron | Physician Assistant | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Felix Winkler | Anesthesiology | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Jaimee S Brow | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Scott Bartz | Physician Assistant | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Andres M Seidner | Emergency Medicine | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Ahmed Abdo Abdel-maksoud | Internal Medicine | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Kristen N Sawruk | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Hannah Patience Eves | Physician Assistant | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| George Abraham | Internal Medicine | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Find all physicians in zip 49783 | |||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAULT SAINTE MARIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy N Tetzlaff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.