Mr Mark Andrew Tiedeman, PHYSICAL THERAPIST - Medicare 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



Healthcare Provider's Profile

Full NameMr Mark Andrew Tiedeman
GenderMale
SpecialityPhysical Therapy
Experience23 Years
Location5927 Kanan Rd, Agoura Hills, California
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:
  • 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.
IdentifierTypeStateIssuer
1730478066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT27038 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Zeolla Physical Therapy Inc82242927762

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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. Mr Mark Andrew Tiedeman allows following entities to bill medicare on his behalf.
Provider NameZeolla Physical Therapy Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1679694798
PECOS PAC ID: 8224292776
Enrollment ID: O20120613000022

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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. 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 AddressPractice 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

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Physical Therapist in Agoura Hills, CA

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
Thomas Fitzgerald, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 29353 Canwood St, Agoura Hills, CA 91301
Phone: 747-225-8042    

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