Dr Joseph D Dietrich, DC is a medicare enrolled "Chiropractor - Rehabilitation" provider in Manor, Texas. His current practice location is
14008 Shadowglen Blvd Ste 104, Manor, Texas. You can reach out to his office (for appointments etc.) via phone at
(800) 404-6050.
Dr Joseph D Dietrich is licensed to practice in Texas (license number 14068) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609396530.
Healthcare Provider's Profile
| Full Name | Dr Joseph D Dietrich |
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| Gender | Male |
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| Speciality | Chiropractor - Rehabilitation |
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| Location | 14008 Shadowglen Blvd Ste 104, Manor, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609396530
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436416708
- Enrollment ID: I20191014000729
Medical Identifiers
Medical identifiers for Dr Joseph D Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609396530 | NPI | - | NPPES |
| CHR.0008376 | Other | CO | CHIROPRACTIC LICENSE |
| 14068 | Other | TX | CHIROPRACTIC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | 14068 (Texas) | Primary |
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. Dr Joseph D Dietrich allows following entities to bill medicare on his behalf.
| Provider Name | Airrosti Rehab Centers, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497989479
PECOS PAC ID: 3678814498
Enrollment ID: O20190725000429 |
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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. Dr Joseph D Dietrich 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 |
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Dr Joseph D Dietrich, DC
Po Box 700688,
San Antonio, TX 78270-0688
Ph: (210) 318-3007 | Dr Joseph D Dietrich, DC
14008 Shadowglen Blvd Ste 104,
Manor, TX 78653-3406
Ph: (800) 404-6050 |
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