Keely Reed Tietjen, PA-C in Alameda, CA - Medicare

Keely Reed Tietjen, PA-C is a medicare enrolled "Physician Assistant" in Alameda, California. Her current practice location is 2070 Clinton Ave, Alameda, California. You can reach out to her office (for appointments etc.) via phone at (510) 864-1800.

Keely Reed Tietjen is licensed to practice in California (license number PA56700) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639738040.

Contact Information

	Keely Reed Tietjen, PA-C
	2070 Clinton Ave, Alameda, CA 94501-4399
	(510) 864-1800
	Not Available

Provider's Profile

Full Name	Keely Reed Tietjen
Gender	Female
Speciality
Experience	Years
Location	2070 Clinton Ave, Alameda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keely Reed Tietjen attended and graduated from in

NPI Data:

NPI Number: 1639738040
Provider Enumeration Date: 06/10/2019
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Keely Reed Tietjen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639738040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA56700 (California)	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. Keely Reed Tietjen 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
Keely Reed Tietjen, PA-C 6 Diablo Cir, Lafayette, CA 94549-3316 Ph: () -	Keely Reed Tietjen, PA-C 2070 Clinton Ave, Alameda, CA 94501-4399 Ph: (510) 864-1800

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Keely Reed Tietjen, PA-C - Medicare in Alameda, CA