Mr Mark Andrew Tiedeman, PHYSICAL THERAPIST in Agoura Hills, CA

Mr Mark Andrew Tiedeman, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Agoura Hills, California. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Zeolla Physical Therapy Inc and his current practice location is 5927 Kanan Rd, Agoura Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 889-0158.

Mr Mark Andrew Tiedeman is licensed to practice in California (license number PT27038) 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 1730478066.

Contact Information

	Mr Mark Andrew Tiedeman, PHYSICAL THERAPIST
	5927 Kanan Rd, Agoura Hills, CA 91301-1688
	(818) 889-0158
	(818) 889-4708

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Andrew Tiedeman
Gender	Male
Speciality	Physical Therapy
Experience	23 Years
Location	5927 Kanan Rd, Agoura Hills, California
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:

Mr Mark Andrew Tiedeman graduated from medical school in 2001

NPI Data:

NPI Number: 1730478066
Provider Enumeration Date: 04/07/2011
Last Update Date: 04/07/2011

Medicare PECOS Information:

PECOS PAC ID: 4082994116
Enrollment ID: I20161207002413

Medical Identifiers

Medical identifiers for Mr Mark Andrew Tiedeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730478066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT27038 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Zeolla Physical Therapy Inc	8224292776	3

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. Mr Mark Andrew Tiedeman allows following entities to bill medicare on his behalf.

Provider Name	Zeolla Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1679694798 PECOS PAC ID: 8224292776 Enrollment ID: O20120613000022

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. Mr Mark Andrew Tiedeman 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
Mr Mark Andrew Tiedeman, PHYSICAL THERAPIST 5927 Kanan Rd, Agoura Hills, CA 91301-1688 Ph: (818) 889-0158	Mr Mark Andrew Tiedeman, PHYSICAL THERAPIST 5927 Kanan Rd, Agoura Hills, CA 91301-1688 Ph: (818) 889-0158

Reviews and Comments

Physical Therapist in Agoura Hills, CA

A5 Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29219 Canwood St # 107, Agoura Hills, CA 91301 Phone: 617-605-0295
Mrs. Michele Alden Zeolla, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5927 Kanan Road, Agoura Hills, CA 91301 Phone: 818-889-0158 Fax: 818-889-4708
Lianne Elizabeth Messier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30135 Agoura Rd, Suite C, Agoura Hills, CA 91301 Phone: 818-707-7344
Mpe Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 30135 Agoura Rd Ste C, Agoura Hills, CA 91301 Phone: 818-707-7344 Fax: 818-707-7133
Mrs. Anne Hinrichs Malsin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5236 Colodny Dr, Suite 205, Agoura Hills, CA 91301 Phone: 818-865-8135 Fax: 818-865-1757
Jmp Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30135 Agoura Rd, Suite C, Agoura Hills, CA 91301 Phone: 818-707-7344 Fax: 818-707-7133
Vargo Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30135 Agoura Rd Ste C, Agoura Hills, CA 91301 Phone: 818-707-7344 Fax: 818-707-7133

Mr Mark Andrew Tiedeman, PHYSICAL THERAPIST - Medicare Physical Therapist in Agoura Hills, CA