| Mr Matthew Charles Tieszen, PA-C | |
|
7101 Jahnke Rd Ste 280, Richmond, VA 23225-4017 | |
| (804) 716-7758 | |
| (804) 918-8664 |
| Full Name | Mr Matthew Charles Tieszen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 7101 Jahnke Rd Ste 280, Richmond, Virginia |
| 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 |
|---|---|---|---|
| 1649735077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Southern Virginia Regional Medical Center | Emporia, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Intensivists Of Virginia Llc | 1759611411 | 49 |
| Intensive Care Consortium Inc | 0244269413 | 485 |
| Urgent Specialty Associates Pllc | 7618235995 | 56 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20131024001493 |
| Entity Name | Urgent Specialty Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487164604 PECOS PAC ID: 7618235995 Enrollment ID: O20171213003293 |
| Entity Name | Sound Physicians Intensivists of Virginia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619520806 PECOS PAC ID: 1759611411 Enrollment ID: O20190923001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Charles Tieszen, PA-C 116 S Davis Ave Apt 5115, Richmond, VA 23220-5159 Ph: (919) 452-3336 | Mr Matthew Charles Tieszen, PA-C 7101 Jahnke Rd Ste 280, Richmond, VA 23225-4017 Ph: (804) 716-7758 |
Mrs. Erica Storey Cline, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Emergency Medicine, Richmond, VA 23298 Phone: 804-828-0996 Fax: 804-828-8646 |
Mrs. Sara Duvall Mccarthy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 N 28th St, Richmond, VA 23223 Phone: 804-225-1700 Fax: 804-225-1725 |
Chadwick Steendam, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5805 Staples Mill Rd, Richmond, VA 23228 Phone: 804-913-2262 Fax: 804-336-0420 |
Maeve C Buni, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4500 |
Laura E Toney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5899 Bremo Rd, Ste 100, Richmond, VA 23226 Phone: 804-288-8512 Fax: 804-288-4552 |
Mrs. Shannon Scott Shellenhamer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 N Thompson St, Richmond, VA 23221 Phone: 804-359-1337 Fax: 804-358-9861 |
Kaitlyn Nicole Earley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Semmes Ave, Richmond, VA 23224 Phone: 804-404-0107 |