Dr Jon R Tiessen, DPM is a medicare enrolled "Podiatrist" provider in Oak Harbor, Washington. He went to California School Of Podiatric Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Podiatry. His current practice location is
1100 Sw Bowmer St, Suite A-103, Oak Harbor, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 679-3117.
Dr Jon R Tiessen is licensed to practice in Washington (license number PO00000673) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912918665.
Healthcare Provider's Profile
| Full Name | Dr Jon R Tiessen |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 26 Years |
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| Location | 1100 Sw Bowmer St, Oak Harbor, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jon R Tiessen attended and graduated from California School Of Podiatric Medicine in 1998
NPI Data:
- NPI Number: 1912918665
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 07/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 5991698516
- Enrollment ID: I20040205001259
Medical Identifiers
Medical identifiers for Dr Jon R Tiessen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912918665 | NPI | - | NPPES |
| 1119163 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | PO00000673 (Washington) | 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. Dr Jon R Tiessen allows following entities to bill medicare on his behalf.
| Provider Name | Family Foot And Ankle Care Incorporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669643102
PECOS PAC ID: 3577548387
Enrollment ID: O20040623001550 |
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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. Dr Jon R Tiessen 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 |
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Dr Jon R Tiessen, DPM
4607 Cypress Dr,
Anacortes, WA 98221-1114
Ph: (360) 293-9765 | Dr Jon R Tiessen, DPM
1100 Sw Bowmer St, Suite A-103,
Oak Harbor, WA 98277-3119
Ph: (360) 679-3117 |
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