Dr Kory David Tieman, PT, DPT in Peru, IL - Medicare Physical Therapy Provider

Dr Kory David Tieman, PT, DPT is a medicare enrolled "Physical Therapist" provider in Peru, Illinois. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice City Center Rehabilitation West - Inc. and his current practice location is 1627 4th St, Peru, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 223-4479.

Dr Kory David Tieman is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376168005.

Contact Information

	Dr Kory David Tieman, PT, DPT
	1627 4th St, Peru, IL 61354-3507
	(815) 223-4479
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kory David Tieman
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	1627 4th St, Peru, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kory David Tieman graduated from medical school in 2020

NPI Data:

NPI Number: 1376168005
Provider Enumeration Date: 06/09/2020
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4789008996
Enrollment ID: I20200721003362

Medical Identifiers

Medical identifiers for Dr Kory David Tieman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376168005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
City Center Rehabilitation West - Inc.	6901963164	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kory David Tieman allows following entities to bill medicare on his behalf.

Provider Name	City Center Rehabilitation West - Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396981742 PECOS PAC ID: 6901963164 Enrollment ID: O20090316000501

Provider Name	Carle West Physician Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kory David Tieman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kory David Tieman, PT, DPT 52 Parkshores Dr, Bloomington, IL 61701-1439 Ph: (815) 830-4048	Dr Kory David Tieman, PT, DPT 1627 4th St, Peru, IL 61354-3507 Ph: (815) 223-4479

Reviews and Comments

Physical Therapist in Peru, IL

Christopher Shane Smith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 Midtown Road, Peru, IL 61354 Phone: 815-223-8600 Fax: 815-223-4667
City Center Physical Therapy - Peru, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1627 4th St, Peru, IL 61354 Phone: 815-223-4479 Fax: 815-223-4489
Gary Joseph Kistenfeger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Midtown Rd, Peru, IL 61354 Phone: 815-223-8600
Luke Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Rock St, Suite E, Peru, IL 61354 Phone: 815-220-0058 Fax: 815-550-0082
Moira Sibbaluca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4231 Progress Blvd, Peru, IL 61354 Phone: 815-326-5924
Mr. Spalding L Slevin Iv, PT, CMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 Midtown Rd, Peru, IL 61354 Phone: 815-538-1354 Fax: 815-538-1361

Dr Kory David Tieman, PT, DPT - Medicare Physical Therapist in Peru, IL