| Fredric Tietz, MD | |
|
61250 Se Coombs Pl, Bend, OR 97702-3704 | |
| (541) 706-5930 | |
| (541) 706-5931 |
| Full Name | Fredric Tietz |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 61250 Se Coombs Pl, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1467486829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G50497 (California) | Secondary |
| 207P00000X | Emergency Medicine | MD166601 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Health System Inc | 8729111513 | 301 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Fredric Tietz, MD Po Box 6096, Bend, OR 97708-6096 Ph: (541) 548-8131 | Fredric Tietz, MD 61250 Se Coombs Pl, Bend, OR 97702-3704 Ph: (541) 706-5930 |
Dr. Suzanne Hatsumi Hiramatsu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Dr. Melissa R. Orman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730 | |
Mr. Joel Myers, PA C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17054 Indio Rd #4931, Bend, OR 97707 Phone: 541-203-3110 | |
Eric Thomas Ory, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 | |
Dr. Gretchen Holst Jones, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-5880 Fax: 541-706-5899 | |
Megan Johanna Wolf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Gregory Merrill Harp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1302 Ne 3rd St, Bend, OR 97701 Phone: 541-388-7799 Fax: 541-389-4096 |