| Mr Nathan Tiedeman, DNP, FNP, RN | |
|
205 Orchard Dr, Sisseton, SD 57262-2312 | |
| (605) 698-7647 | |
| Not Available |
| Full Name | Mr Nathan Tiedeman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 205 Orchard Dr, Sisseton, South Dakota |
| 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 |
|---|---|---|---|
| 1285083436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP001093 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glacial Ridge Hospital | Glenwood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glacial Ridge Hospital District | 5294789194 | 49 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538178520 PECOS PAC ID: 5294789194 Enrollment ID: O20061104000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nathan Tiedeman, DNP, FNP, RN 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-7647 | Mr Nathan Tiedeman, DNP, FNP, RN 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-7647 |
Faith Ann Phillips, DNP, RNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Lakeina Shelton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 603-952-2549 | |
Mr. Robert Michael Keller Jr., ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 E Chestnut St, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Katherine Joan Mackenzie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Carmen Maria Redlin, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Tina E Evenson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Mr. Michael Price, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 Fax: 605-742-0182 |