| Keely Reed Tietjen, PA-C | |
|
2070 Clinton Ave, Alameda, CA 94501-4399 | |
| (510) 864-1800 | |
| Not Available |
| Full Name | Keely Reed Tietjen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2070 Clinton Ave, Alameda, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639738040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA56700 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8376 |
| Mailing Address | Practice Location Address |
|---|---|
| Keely Reed Tietjen, PA-C 6 Diablo Cir, Lafayette, CA 94549-3316 Ph: () - | Keely Reed Tietjen, PA-C 2070 Clinton Ave, Alameda, CA 94501-4399 Ph: (510) 864-1800 |
Daniel Thai, Physician Assistant Medicare: Medicare Enrolled Practice Location: 815 Atlantic Ave, Alameda, CA 94501 Phone: 510-535-7363 | |
Maxwell Kaczmarek, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Eagle Rd, Alameda, CA 94501 Phone: 510-437-3582 | |
Meridith A Palo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Eagle Rd, Alameda, CA 94501 Phone: 510-437-3584 | |
Seng Vang, Physician Assistant Medicare: Medicare Enrolled Practice Location: 455 Buena Vista Ave Apt 302, Alameda, CA 94501 Phone: 510-809-5678 | |
Lisa Wymer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1529 Union St Apt A, Alameda, CA 94501 Phone: 260-438-0496 | |
Christine Harper Moscati, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2421 Encinal Ave Ste A, Alameda, CA 94501 Phone: 510-995-8200 | |
Mr. Adam Lawrence Huffman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Eagle Rd, Alameda, CA 94501 Phone: 650-808-2937 Fax: 650-808-2957 |