John S Tiedeman, MD - Medicare Anesthesiology in Charlottesville, VA

John S Tiedeman, MD is a medicare enrolled "Anesthesiology" physician in Charlottesville, Virginia. He went to University Of Virginia School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Smg Anesthesia Specialists Llc and his current practice location is 459 Locust Ave, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 296-7733.

John S Tiedeman is licensed to practice in Virginia (license number 0101243857) 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 1104047307.

Contact Information

John S Tiedeman, MD
459 Locust Ave,
Charlottesville, VA 22902-4808
(434) 296-7733
Not Available



Physician's Profile

Full NameJohn S Tiedeman
GenderMale
SpecialityAnesthesiology
Experience20 Years
Location459 Locust Ave, Charlottesville, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John S Tiedeman attended and graduated from University Of Virginia School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1104047307
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 07/02/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8729151113
  • Enrollment ID: I20080717000624

Medical Identifiers

Medical identifiers for John S Tiedeman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104047307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 0101243857 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Martha Jefferson HospitalCharlottesville, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smg Anesthesia Specialists Llc6305081118183

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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. John S Tiedeman allows following entities to bill medicare on his behalf.
Entity NameCommonwealth Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548275308
PECOS PAC ID: 7214840453
Enrollment ID: O20031112000526

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Entity NameSmg Anesthesia Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518205004
PECOS PAC ID: 6305081118
Enrollment ID: O20130327000494

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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. John S 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 AddressPractice Location Address
John S Tiedeman, MD
311 10th St Ne,
Charlottesville, VA 22902-5316

Ph: (434) 296-7733
John S Tiedeman, MD
459 Locust Ave,
Charlottesville, VA 22902-4808

Ph: (434) 296-7733

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Anesthesiology Doctors in Charlottesville, VA

Farnaz M Gazoni, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2283    Fax: 434-982-0019
Katherine T, Forkin, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2283    Fax: 434-982-0019
Edward C. Nemergut,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2283    Fax: 434-982-0019
Allison J. Bechtel, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2283    Fax: 434-982-0019
Kristi Hackworth Rose, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2331 Seminole Ln Ste 201, Charlottesville, VA 22901
Phone: 434-293-4995    Fax: 434-971-3434
Sunny S. Chiao, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2283    Fax: 434-982-0019
Logan David Kinch, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 545 Ray C Hunt Dr Ste 316, Charlottesville, VA 22903
Phone: 434-243-5676    Fax: 434-243-5689

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