| Dr Douglas L Tiedt, MD | |
|
1370 W Meeting St, Lancaster, SC 29720-2222 | |
| (803) 286-6997 | |
| (803) 283-3999 |
| Full Name | Dr Douglas L Tiedt |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 45 Years |
| Location | 1370 W Meeting St, Lancaster, South Carolina |
| 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 |
|---|---|---|---|
| 1912951476 | NPI | - | NPPES |
| 135963 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 13596 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| Musc Health Lancaster Medical Center | Lancaster, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical University Hospital Authority | 1557268950 | 199 |
| Entity Name | Medical University Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas L Tiedt, MD Po Box 1897, Lancaster, SC 29721-1897 Ph: (803) 286-6997 | Dr Douglas L Tiedt, MD 1370 W Meeting St, Lancaster, SC 29720-2222 Ph: (803) 286-6997 |
Mr. Richard E Townsend, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 834 West Meeting Street, Suite B, Lancaster, SC 29720 Phone: 803-286-4405 Fax: 803-286-8487 | |
John Thomas Smith, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 834 W Meeting St Bldg 4, Suite E, Lancaster, SC 29720 Phone: 803-285-5900 | |
Trevor George Robinson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 843-792-1414 | |
Nancy L. Burleson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 834 W Meeting St Ste E, Lancaster, SC 29720 Phone: 803-285-5900 |