Brian Didier, MD is a medicare enrolled "Hospitalist" physician in Dixon, Illinois. His current practice location is
403 E 1st St, Dixon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 285-5629.
Brian Didier is licensed to practice in Illinois (license number 036169544) 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 1417521618.
Physician's Profile
Full Name | Brian Didier |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 403 E 1st St, Dixon, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417521618
- Provider Enumeration Date: 05/13/2021
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496119273
- Enrollment ID: I20230912003463
Medical Identifiers
Medical identifiers for Brian Didier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417521618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036169544 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | Secondary |
208M00000X | Hospitalist | 036169544 (Illinois) | 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. Brian Didier allows following entities to bill medicare on his behalf.
Entity Name | Ksb Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
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Entity Name | Katherine Shaw Bethea Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
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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. Brian Didier 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 |
Brian Didier, MD 102 S Hennepin Ave, Dixon, IL 61021-3013 Ph: (815) 285-8520 | Brian Didier, MD 403 E 1st St, Dixon, IL 61021-3187 Ph: (815) 285-5629 |
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