| Mrs Pamela Marie Tietz, CNP | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Mrs Pamela Marie Tietz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619032158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R 109339-1 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pamela Marie Tietz, CNP 618 Rolling Meadows Ln Se, New Prague, MN 56071-4022 Ph: (952) 758-2908 | Mrs Pamela Marie Tietz, CNP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Nicole S Nipper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Brandi D'souza, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joan Grotewold, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5067 55th St Sw, Rochester, MN 55901 Phone: 507-292-7070 | |
Amy Behnken, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Carrissa Lee Donahue, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Judith Akinyi Okoth Dogo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Christopher Dirkes, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |