Gregory Carl Tietz, | |
1400 E Boulder St, Colorado Springs, CO 80909-5533 | |
(719) 365-6820 | |
(303) 306-7753 |
Full Name | Gregory Carl Tietz |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1400 E Boulder St, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871579656 | NPI | - | NPPES |
01262153 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 26215 (Colorado) | Primary |
Entity Name | Emergency Medical Specialists, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194708073 PECOS PAC ID: 2860489242 Enrollment ID: O20040428000221 |
Mailing Address | Practice Location Address |
---|---|
Gregory Carl Tietz, P.o. Box 173891, Denver, CO 80217-9294 Ph: (303) 306-7783 | Gregory Carl Tietz, 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (719) 365-6820 |
Eric Wu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-5000 Fax: 719-365-6820 | |
Christopher Ryan Westfall, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E. Boulder Street, Colorado Springs, CO 80909 Phone: 303-306-7783 Fax: 303-306-7753 | |
Jaina Case Garrison Murphy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-5000 Fax: 719-365-6827 | |
Dr. John Michael Mcgrath, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5785 Regal View Rd, Colorado Springs, CO 80919 Phone: 337-718-1784 | |
Dr. Timothy Ray Hurtado, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2222 N Nevada Ave, Front Range Emergency Specialists, Colorado Springs, CO 80907 Phone: 719-475-0299 | |
Dr. Mason Ben Kates, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-766-5333 Fax: 719-766-5651 | |
Sameera F Fareed-farrukh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 350, Colorado Springs, CO 80910 Phone: 719-633-5515 |