| Dr Charles Albin Tietz, MD | |
|
307 1st St S, Ste 108, Virginia, MN 55792-2696 | |
| (218) 749-8326 | |
| (218) 749-8608 |
| Full Name | Dr Charles Albin Tietz |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 64 Years |
| Location | 307 1st St S, Virginia, 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 |
|---|---|---|---|
| 1861499584 | NPI | - | NPPES |
| 77163TI | Other | MN | BCBS |
| 07-02849 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 15922 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Virginia | Virginia, MN | Hospital |
| Cook Hospital | Cook, MN | Hospital |
| Bigfork Valley Hospital | Bigfork, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cook Area Health Services, Inc | 4880681303 | 24 |
| Entity Name | Cook Area Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174596027 PECOS PAC ID: 4880681303 Enrollment ID: O20040427001470 |
| Entity Name | Cook Area Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508443847 PECOS PAC ID: 4880681303 Enrollment ID: O20211220002006 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Albin Tietz, MD 307 1st St S, Ste 108, Virginia, MN 55792-2696 Ph: (218) 749-8326 | Dr Charles Albin Tietz, MD 307 1st St S, Ste 108, Virginia, MN 55792-2696 Ph: (218) 749-8326 |
Carl Norman Passal, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 910 N 6th Ave, Virginia, MN 55792 Phone: 218-741-0150 | |
Leah Rebekah Becicka, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 Fax: 218-741-7892 | |
Helen Christine Gettle, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |