Emily Tieu, - Medicare Physician Assistant in South Jordan, UT

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Emily Tieu, is a medicare enrolled "Physician Assistant" physician in South Jordan, Utah. Her current practice location is 10433 S Redwood Rd, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 609-9798.

Emily Tieu is licensed to practice in Utah (license number 9278723-1206) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912581620.

Contact Information

Emily Tieu,
10433 S Redwood Rd,
South Jordan, UT 84095-8502
(801) 609-9798
Not Available



Physician's Profile

Full NameEmily Tieu
GenderFemale
SpecialityPhysician Assistant
Location10433 S Redwood Rd, South Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912581620
  • Provider Enumeration Date: 05/09/2021
  • Last Update Date: 09/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224400544
  • Enrollment ID: I20230215001709

Medical Identifiers

Medical identifiers for Emily Tieu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912581620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9278723-1206 (Utah)Secondary
363AM0700XPhysician Assistant - Medical 9278723-1206 (Utah)Secondary
363A00000XPhysician Assistant 9278723-1206 (Utah)Primary

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. Emily Tieu 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 AddressPractice Location Address
Emily Tieu,
10433 S Redwood Rd,
South Jordan, UT 84095-8502

Ph: () -		Emily Tieu,
10433 S Redwood Rd,
South Jordan, UT 84095-8502

Ph: (801) 609-9798

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