| Dr John Thieszen, MD | |
|
3528 Gabel Rd, Billings, MT 59102-7307 | |
| (970) 391-0572 | |
| (815) 377-2580 |
| Full Name | Dr John Thieszen |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 3528 Gabel Rd, Billings, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285667816 | NPI | - | NPPES |
| 60427876 | Medicaid | CO | |
| 12435 | Other | MT | MT LIC |
| 47210 | Other | CO | CO LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 47877-020 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 47210 (Colorado) | Secondary |
| 208M00000X | Hospitalist | 47210 (Colorado) | Primary |
| Entity Name | Banner Hospital Based Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154679637 PECOS PAC ID: 6800031386 Enrollment ID: O20130404000393 |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20141017001015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Thieszen, MD 1281 E Magnolia St, Suite D199, Fort Collins, CO 80524-4796 Ph: (970) 391-0572 | Dr John Thieszen, MD 3528 Gabel Rd, Billings, MT 59102-7307 Ph: (970) 391-0572 |
Andrea L. Darilek, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2800 10th Ave N, Billings, MT 59101 Phone: 406-657-4000 | |
James Austin Jackson, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2800 10th Ave N, Billings, MT 59101 Phone: 406-238-2500 | |
Catherine L. Stephens, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 N 29th St, Billings, MT 59101 Phone: 406-238-2500 | |
Dr. Di Wu, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2800 10th Ave N, Billings, MT 59101 Phone: 406-238-2500 | |
Dr. Shelly Lynn Basye, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2800 10th Ave N, Billings, MT 59101 Phone: 406-238-2500 | |
Marilyn F. Grams, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2825 8th Ave N, Billings, MT 59101 Phone: 406-238-2500 | |
Kylie Danielle Abeson, MD, MPH Hospitalist Medicare: Medicare Enrolled Practice Location: 801 N 29th St, Billings, MT 59101 Phone: 406-238-5046 |