Dr Robert J Diecidue, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Philadelphia, Pennsylvania. His current practice location is
909 Walnut St, 3rd Floor, Cob, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 955-6215.
Dr Robert J Diecidue is licensed to practice in Pennsylvania (license number MD421272) 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 1225069818.
Healthcare Provider's Profile
| Full Name | Dr Robert J Diecidue |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 909 Walnut St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Robert J Diecidue attended and graduated from in
NPI Data:
- NPI Number: 1225069818
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 08/23/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Robert J Diecidue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225069818 | NPI | - | NPPES |
| 0012768190002 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS026243L (Pennsylvania) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | MD421272 (Pennsylvania) | Primary |
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 Robert J Diecidue 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 |
|---|
Dr Robert J Diecidue, DMD, MD
909 Walnut St, 3rd Floor, Cob,
Philadelphia, PA 19107-5211
Ph: (215) 955-6215 | Dr Robert J Diecidue, DMD, MD
909 Walnut St, 3rd Floor, Cob,
Philadelphia, PA 19107-5211
Ph: (215) 955-6215 |
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