Jill Thiede, MD, RD is a
Family Medicine based in Apo, Armed Forces Americas. Jill Thiede is licensed to practice in Missouri (license number 2024034082) and her current practice location is
13 Area Clinic, Camp Pendleton, Ca, Apo, Armed Forces Americas. She can be reached at her office (for appointments etc.) via phone at
(760) 725-8007.
NPI number for Jill Thiede is 1265916167 and her current mailing address is Bldg 41008, Camp Pendleton, Ca, Apo, Armed Forces Americas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265916167.
Healthcare Provider's Profile
| Full Name | Jill Thiede |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
|---|
| Location | 13 Area Clinic, Apo, Armed Forces Americas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265916167
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 10/13/2026
Medical Identifiers
Medical identifiers for Jill Thiede such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265916167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DT85560 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 2024034082 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
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. Jill Thiede is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jill Thiede, MD, RD Bldg 41008, Camp Pendleton, Ca, Apo, AA 92055 Ph: (760) 725-8007 | Jill Thiede, MD, RD 13 Area Clinic, Camp Pendleton, Ca, Apo, AA 92055 Ph: (760) 725-8007 |
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