Donald David Dietze Jr, MD is a medicare enrolled "Neurological Surgery" physician in Lacombe, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1986 and has 38 years of diverse experience with area of expertise as Neurosurgery. His current practice location is
29301 N Dixie Ranch Rd, Lacombe, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(985) 871-4114.
Donald David Dietze Jr is licensed to practice in Louisiana (license number 019033) 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 1316913635.
Physician's Profile
Full Name | Donald David Dietze Jr |
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Gender | Male |
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Speciality | Neurosurgery |
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Experience | 38 Years |
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Location | 29301 N Dixie Ranch Rd, Lacombe, Louisiana |
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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. |
Medical Education and Training:
- Donald David Dietze Jr attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1986
NPI Data:
- NPI Number: 1316913635
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 10/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 8921193723
- Enrollment ID: I20071008000546
Medical Identifiers
Medical identifiers for Donald David Dietze Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316913635 | NPI | - | NPPES |
5E706 | Other | LA | MEDICARE PROVIDER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 019033 (Louisiana) | Primary |
Medical Facilities Affiliation
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. Donald David Dietze Jr allows following entities to bill medicare on his behalf.
Entity Name | Spine Innovations Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366973935 PECOS PAC ID: 3375828684 Enrollment ID: O20170329002222 |
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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. Donald David Dietze Jr 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 |
Donald David Dietze Jr, MD 29301 N Dixie Ranch Rd, Lacombe, LA 70445 Ph: (985) 871-4114 | Donald David Dietze Jr, MD 29301 N Dixie Ranch Rd, Lacombe, LA 70445 Ph: (985) 871-4114 |
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