Luke Jon Tietz, PT in New Prague, MN - Medicare Physical Therapist Provider

Luke Jon Tietz, PT is a medicare enrolled "Physical Therapist" provider in New Prague, Minnesota. His current practice location is 504 6th Ave Nw, New Prague, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 257-8800.

Luke Jon Tietz is licensed to practice in Minnesota (license number 12255) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235707092.

Contact Information

	Luke Jon Tietz, PT
	504 6th Ave Nw, New Prague, MN 56071-1709
	(952) 257-8800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Luke Jon Tietz
Gender	Male
Speciality	Physical Therapist
Location	504 6th Ave Nw, New Prague, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235707092
Provider Enumeration Date: 06/16/2021
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6406203736
Enrollment ID: I20231108002317

Medical Identifiers

Medical identifiers for Luke Jon Tietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235707092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12255 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Luke Jon Tietz allows following entities to bill medicare on his behalf.

Provider Name	Mayo Clinic Health System-southwest Minnesota Region
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luke Jon Tietz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Luke Jon Tietz, PT 504 6th Ave Nw, New Prague, MN 56071-1709 Ph: () -	Luke Jon Tietz, PT 504 6th Ave Nw, New Prague, MN 56071-1709 Ph: (952) 257-8800

Reviews and Comments

Physical Therapist in New Prague, MN

Colleen Ambroz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-758-4431
John Conrad Masberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-758-4431
Stephanie Nicole Gill, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-257-8800
Dr. Peter Paul Ly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 504 6th Ave Nw, New Prague, MN 56071 Phone: 952-257-8800
Colleen Marie Turner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-257-8997
Heidi Bell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-257-8800

Luke Jon Tietz, PT - Medicare Physical Therapist in New Prague, MN