| Mr Nicholas Tieu, PA-C | |
|
415 6th St, Lewiston, ID 83501-2434 | |
| (208) 743-2511 | |
| Not Available |
| Full Name | Mr Nicholas Tieu |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295206134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1712 (Idaho) | Primary |
| 363A00000X | Physician Assistant | 50.005767RX (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Tieu, PA-C 3233 Colony Hill Ln, Columbus, OH 43204-2183 Ph: (847) 508-2847 | Mr Nicholas Tieu, PA-C 415 6th St, Lewiston, ID 83501-2434 Ph: (208) 743-2511 |
Christopher V Ricketts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5280 | |
Candice Ketelsen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Mr. Gregory Robert Obray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston Orthopaedics, Lewiston, ID 83501 Phone: 208-743-3523 | |
Vincent Fibelstad, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Breanne L Lybyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Ms. Laura Marie Gifford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 |