Isaac Dieterman, BA, DP-C in Midland, MI - Medicare Counselor Provider

Isaac Dieterman, BA, DP-C is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Midland, Michigan. His current practice location is 5816 Eastman Ave, Midland, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 774-1224.

Isaac Dieterman is licensed to practice in * (Not Available) (license number ) 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 1174185474.

Contact Information

	Isaac Dieterman, BA, DP-C
	5816 Eastman Ave, Midland, MI 48640-6792
	(989) 774-1224
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Isaac Dieterman
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	5816 Eastman Ave, Midland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174185474
Provider Enumeration Date: 07/08/2019
Last Update Date: 07/08/2019

Medicare PECOS Information:

PECOS PAC ID: 6800330598
Enrollment ID: I20240705001891

Medical Identifiers

Medical identifiers for Isaac Dieterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174185474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Isaac Dieterman allows following entities to bill medicare on his behalf.

Entity Name	Ten Sixteen Recovery Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184765208 PECOS PAC ID: 5395187975 Enrollment ID: O20240528003478

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. Isaac Dieterman 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
Isaac Dieterman, BA, DP-C 5816 Eastman Ave, Midland, MI 48640-6792 Ph: (989) 774-1224	Isaac Dieterman, BA, DP-C 5816 Eastman Ave, Midland, MI 48640-6792 Ph: (989) 774-1224

Reviews and Comments

Counselor in Midland, MI

Kayla Mogg, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390
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Mrs. Caroline Barker Giblin, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2528 W Wackerly St, Midland, MI 48640 Phone: 989-859-7633 Fax: 989-486-9413
Amanda Lindemulder, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 W Wackerly St Ste 11, Midland, MI 48640 Phone: 989-832-2165
Mrs. Deanna L. Hodgson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390

Isaac Dieterman, BA, DP-C - Medicare Counselor in Midland, MI