| Tiyu Isabella Cheng, | |
|
1800 Novell Pl, Provo, UT 84606-6171 | |
| (612) 600-1464 | |
| Not Available |
| Full Name | Tiyu Isabella Cheng |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1800 Novell Pl, Provo, Utah |
| 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 |
|---|---|---|---|
| 1932957115 | NPI | - | NPPES |
| 100382988 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8653-23 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 197 |
| Entity Name | Baycare Aurora LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiyu Isabella Cheng, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Tiyu Isabella Cheng, 1800 Novell Pl, Provo, UT 84606-6171 Ph: (612) 600-1464 |
Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000 |
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 |
Devin W Christensen, PA-S2 Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998 |
James Scott Arregui, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 503, Provo, UT 84604 Phone: 801-357-7081 |
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000 |
Michael Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-418-0941 |
Stacie Glass, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |