Dr Robert J Diecidue, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Philadelphia, Pennsylvania. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Jefferson University Physicians and 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 | Oral Surgery |
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| Experience | 36 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 graduated from medical school in 1988
NPI Data:
- NPI Number: 1225069818
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 08/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 7315075439
- Enrollment ID: I20100511000969
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 |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS026243L (Pennsylvania) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | MD421272 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jefferson University Physicians | 7911819180 | 1273 |
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 Robert J Diecidue allows following entities to bill medicare on his behalf.
| Entity Name | Jefferson University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326093675
PECOS PAC ID: 7911819180
Enrollment ID: O20040225000232 |
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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 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 |
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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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