| Daniel James Tiede, MD | |
|
1406 6th Ave N, St Cloud, MN 56303 | |
| (320) 656-7020 | |
| (320) 255-5714 |
| Full Name | Daniel James Tiede |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 34 Years |
| Location | 1406 6th Ave N, St Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306839949 | NPI | - | NPPES |
| HP31427 | Other | HEALTH PARTNERS | |
| 1119213 | Other | ARAZ GROUP/AMERICA'S PPO | |
| 119337 | Other | U-CARE | |
| 2114057 | Other | FIRST HEALTH PLAN | |
| 1025405 | Other | PREFERRED ONE | |
| 2500414 | Other | MEDICA HEALTH PLANS | |
| 852362200 | Medicaid | MN | |
| 852362200 | Other | MEDICAL ASSISTANCE (MA) | |
| 95D80T1 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35523 (Minnesota) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 35523 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| Carris Health Llc | Willmar, MN | Hospital |
| Tri County Hospital | Wadena, MN | Hospital |
| Chippewa County Hospital | Montevideo, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Health-paynesville Llc | 1153555719 | 31 |
| Centracare Clinic | 2466363395 | 701 |
| Astera Health | 2961395272 | 90 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel James Tiede, MD 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 | Daniel James Tiede, MD 1406 6th Ave N, St Cloud, MN 56303 Ph: (320) 656-7020 |
Viorel Gheorghe, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1900 Centra Care Circle, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2146 | |
Dr. David G Benditt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 | |
Alexander J Schad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-252-5731 | |
Wesley Leland Lindquist, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Christopher Bruce Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406 Sixth Avenue North, St Cloud, MN 56303 Phone: 320-229-4901 Fax: 320-229-5160 | |
Dr. Jessie Lee Kerns Roske, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700 | |
Paul L Marek, MD, FHM Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-240-2118 |