| Jill S Ties, MD | |
|
235 E State St, Saint Croix Falls, WI 54024-4117 | |
| (715) 483-3221 | |
| (715) 483-0507 |
| Full Name | Jill S Ties |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 235 E State St, Saint Croix Falls, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336302595 | NPI | - | NPPES |
| 1336302595 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 54198 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill S Ties, MD 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 | Jill S Ties, MD 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 |
Claudio F. Nunes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Dr. Felix Cristobal Blanco, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Marta Susan Engelking, MD Surgery Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3261 |