John Jay Tiedeken, MD | |
500 University Dr, H088, Hershey, PA 17033-2360 | |
(717) 531-1692 | |
Not Available |
Full Name | John Jay Tiedeken |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 30 Years |
Location | 500 University Dr, Hershey, Pennsylvania |
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 |
---|---|---|---|
1770703902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MT048089 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Robert Marriott Medical Corp | 2567531494 | 22 |
Entity Name | Robert Marriott Medical Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20080519000660 |
Mailing Address | Practice Location Address |
---|---|
John Jay Tiedeken, MD 500 University Dr, H088, Hershey, PA 17033-2360 Ph: (717) 531-1692 | John Jay Tiedeken, MD 500 University Dr, H088, Hershey, PA 17033-2360 Ph: (717) 531-1692 |
Karima C Fitzgerald, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8887 Fax: 717-531-0321 | |
Tarik Z Ali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Drive, Hershey, PA 17033 Phone: 800-243-1455 | |
Lacee Jay Laufenberg-puopolo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8887 Fax: 717-531-3649 | |
Samuel Judah Zolin, Surgery Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8887 Fax: 717-531-4974 | |
Maria Camila Castello-ramirez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-4554 Fax: 717-531-4151 | |
Melody Paulishak, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Isabelle Deshaies, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 |