Dr Charles Albin Tietz, MD | |
307 1st St S, Ste 108, Virginia, MN 55792-2696 | |
(218) 749-8326 | |
(218) 749-8608 |
Full Name | Dr Charles Albin Tietz |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 63 Years |
Location | 307 1st St S, Virginia, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861499584 | NPI | - | NPPES |
77163TI | Other | MN | BCBS |
07-02849 | Other | MN | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 15922 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Virginia | Virginia, MN | Hospital |
Cook Hospital | Cook, MN | Hospital |
Bigfork Valley Hospital | Bigfork, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cook Area Health Services, Inc | 4880681303 | 26 |
Entity Name | Cook Area Health Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174596027 PECOS PAC ID: 4880681303 Enrollment ID: O20040427001470 |
Entity Name | Cook Area Health Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508443847 PECOS PAC ID: 4880681303 Enrollment ID: O20211220002006 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Albin Tietz, MD 307 1st St S, Ste 108, Virginia, MN 55792-2696 Ph: (218) 749-8326 | Dr Charles Albin Tietz, MD 307 1st St S, Ste 108, Virginia, MN 55792-2696 Ph: (218) 749-8326 |
Carl Norman Passal, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 910 N 6th Ave, Virginia, MN 55792 Phone: 218-741-0150 | |
Leah Rebekah Becicka, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 Fax: 218-741-7892 | |
Helen Christine Gettle, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |