Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Madelyn Grace Tiu, PA-C

Individual provider Physician Assistant · NPI 1588478390

MS. Madelyn Grace Tiu, PA-C is a Physician Assistant in Port Charlotte, Florida. Qualified in 2024, 2 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4130 Tamiami Trl Unit 102
Port Charlotte, FL 33952-9207
Phone: (941) 787-7100
Fax: (941) 787-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Aaronwoods Ct, Wheeling, WV 26003-9358 — (304) 551-3005

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9119603 (FL)

Record details

NPI number1588478390
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Port Charlotte