| Ms Christina Jo Tietjen, PT | |
|
323 Sw 10th St, Madison, SD 57042-3200 | |
| (605) 256-8915 | |
| (605) 256-8983 |
| Full Name | Ms Christina Jo Tietjen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 323 Sw 10th St, Madison, South Dakota |
| 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 |
|---|---|---|---|
| 1205888054 | NPI | - | NPPES |
| 5835470 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1239 (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Danielle Hohm, Fnp, Family Wellness Clinic | 9537496054 | 4 |
| Provider Name | Goodcare Athome Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891190377 PECOS PAC ID: 7517289614 Enrollment ID: O20141126001730 |
| Provider Name | Danielle Hohm, Fnp, Family Wellness Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588223440 PECOS PAC ID: 9537496054 Enrollment ID: O20190807000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Christina Jo Tietjen, PT 323 Sw 10th St, Madison, SD 57042-3200 Ph: (605) 256-8915 | Ms Christina Jo Tietjen, PT 323 Sw 10th St, Madison, SD 57042-3200 Ph: (605) 256-8915 |
Cooper Robert Hausmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 323 Sw 10th St, Madison, SD 57042 Phone: 605-256-6551 Fax: 605-256-6449 | |
Beth Ann King, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 Se 10th St Ste 103, Madison, SD 57042 Phone: 605-556-0175 Fax: 605-556-0162 | |
Christine Blasius Sahr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 323 Sw 10th St, Madison, SD 57042 Phone: 605-256-6551 Fax: 605-256-6469 | |
Karla Joy Vandenbosch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1423 Ne 4th St, Madison, SD 57042 Phone: 605-256-9053 | |
Paul Bindert, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 323 Sw 10th St, Madison, SD 57042 Phone: 605-256-8915 | |
Sydney Layne Gustaf, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1119 John Deere Cir Ste C, Madison, SD 57042 Phone: 605-556-0175 Fax: 605-556-0175 |