Shelby Dietze, - Medicare Counselor in Coudersport, PA

  1. Home
  2. Counselors
  3. PA
  4. Coudersport
Shelby Dietze, is a medicare enrolled "Counselor - Professional" provider in Coudersport, Pennsylvania. Her current practice location is 1 N Main St Fl 3, Coudersport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 274-8651.

Shelby Dietze is licensed to practice in Pennsylvania (license number PCF017139) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912756842.

Contact Information

Shelby Dietze,
1 N Main St Fl 3,
Coudersport, PA 16915-1754
(814) 274-8651
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShelby Dietze
GenderFemale
SpecialityCounselor - Professional
Location1 N Main St Fl 3, Coudersport, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912756842
  • Provider Enumeration Date: 05/14/2024
  • Last Update Date: 05/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123569118
  • Enrollment ID: I20240918000314

Medical Identifiers

Medical identifiers for Shelby Dietze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912756842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health PC017139 (Pennsylvania)Secondary
101YP2500XCounselor - Professional PCF017139 (Pennsylvania)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. Shelby Dietze allows following entities to bill medicare on her behalf.
Entity NameDickinson Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164503322
PECOS PAC ID: 3870489131
Enrollment ID: O20040224000623

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. Shelby Dietze 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
Shelby Dietze,
43 Servidea Dr,
Ridgway, PA 15853-6333

Ph: (814) 776-2145		Shelby Dietze,
1 N Main St Fl 3,
Coudersport, PA 16915-1754

Ph: (814) 274-8651

Reviews and Comments


Counselor in Coudersport, PA

Rebecca Keagle,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1 N Main St, Coudersport, PA 16915
Phone: 814-274-8651    Fax: 814-274-8652
Brandi Norris, LFMT
Counselor
Medicare: Medicare Enrolled
Practice Location: 1 N Main St, Coudersport, PA 16915
Phone: 814-776-0225    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.