| Mr Matthew Melvin Tiemann, PA-C | |
|
395 W Cougar Blvd Ste 803, Provo, UT 84604-3311 | |
| (801) 235-7246 | |
| Not Available |
| Full Name | Mr Matthew Melvin Tiemann |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 395 W Cougar Blvd Ste 803, Provo, Utah |
| 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 |
|---|---|---|---|
| 1578992012 | NPI | - | NPPES |
| 1578992012 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 57636701206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 57636701206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heber Valley Hospital | Heber city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Melvin Tiemann, PA-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Mr Matthew Melvin Tiemann, PA-C 395 W Cougar Blvd Ste 803, Provo, UT 84604-3311 Ph: (801) 235-7246 |
Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000 | |
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 Fax: 801-357-8840 | |
Devin W Christensen, PA-S2 Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998 | |
Joan Margaret Butler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000 | |
Michael Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-418-0941 | |
Stacie Glass, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |