Michael Edward Tieman, MD in Show Low, AZ - Surgery

Michael Edward Tieman, MD is a Surgery physician based in Show Low, Arizona. Michael Edward Tieman is licensed to practice in Arizona (license number 27787) and his current practice location is 5171 Cub Lake Rd, Suite 280, Show Low, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 532-5463.

NPI number for Michael Edward Tieman is 1730150400 and his current mailing address is Po Box 1660, Lakeside, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730150400.

Contact Information

	Michael Edward Tieman, MD
	5171 Cub Lake Rd, Suite 280, Show Low, AZ 85901-7866
	(928) 532-5463
	(928) 532-8474

Physician's Profile

Full Name	Michael Edward Tieman
Gender	Male
Speciality	Surgery
Location	5171 Cub Lake Rd, Show Low, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1730150400
Provider Enumeration Date: 01/30/2006
Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Michael Edward Tieman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730150400	NPI	-	NPPES
AZ0732060	Other	AZ	BLUE CROSS BLUE SHIELD AZ
478942	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	27787 (Arizona)	Primary
208600000X	Surgery	22553 (Wisconsin)	Secondary

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. Michael Edward Tieman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michael Edward Tieman, MD Po Box 1660, Lakeside, AZ 85929-1660 Ph: (928) 532-5463	Michael Edward Tieman, MD 5171 Cub Lake Rd, Suite 280, Show Low, AZ 85901-7866 Ph: (928) 532-5463

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Surgery Doctors in Show Low, AZ

William J Waldo, MD Surgery Medicare: Medicare Enrolled Practice Location: 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901 Phone: 928-537-4240 Fax: 928-537-4541
Dr. Burke Delange, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5171 Cub Lake Rd, Suite C 350, Show Low, AZ 85901 Phone: 928-537-8285
Doran James Schneider, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5171 Cub Lake Rd, Suite 390, Show Low, AZ 85901 Phone: 928-532-5463 Fax: 928-532-8474

Michael Edward Tieman, MD - Surgery in Show Low, AZ