Jill Thiede, MD, RD is a
General Practice based in Camp Pendleton, California. Jill Thiede is licensed to practice in Missouri (license number 2024034082) and her current practice location is
H200 Mercy Circle, Camp Pendleton, California. She can be reached at her office (for appointments etc.) via phone at
(682) 885-7960.
NPI number for Jill Thiede is 1265916167 and her current mailing address is H200 Mercy Circle, Camp Pendleton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265916167.
Healthcare Provider's Profile
Full Name | Jill Thiede |
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Gender | Female |
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Speciality | General Practice |
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Location | H200 Mercy Circle, Camp Pendleton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265916167
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 09/05/2024
Medical Identifiers
Medical identifiers for Jill Thiede such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265916167 | NPI | - | NPPES |
DT85560 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DT85560 (Texas) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
208D00000X | General Practice | 2024034082 (Missouri) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jill Thiede is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jill Thiede, MD, RD H200 Mercy Circle, Camp Pendleton, CA 92055 Ph: () - | Jill Thiede, MD, RD H200 Mercy Circle, Camp Pendleton, CA 92055 Ph: (682) 885-7960 |
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