Charles L Dietzek, DO | |
1101 White Horse Rd, Suite C, Voorhees, NJ 08043-2157 | |
(856) 309-9777 | |
Not Available |
Full Name | Charles L Dietzek |
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Gender | Male |
Speciality | Vascular Surgery |
Experience | 41 Years |
Location | 1101 White Horse Rd, Voorhees, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639283344 | NPI | - | NPPES |
0375209 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MB46719 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles L Dietzek, Do, Facos, Pc | 0143256792 | 2 |
Entity Name | Charles L Dietzek, Do, Facos, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306905658 PECOS PAC ID: 0143256792 Enrollment ID: O20050714000536 |
Mailing Address | Practice Location Address |
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Charles L Dietzek, DO 1101 White Horse Rd, Suite C, Voorhees, NJ 08043-2157 Ph: (856) 309-9777 | Charles L Dietzek, DO 1101 White Horse Rd, Suite C, Voorhees, NJ 08043-2157 Ph: (856) 309-9777 |
Charles Butler, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 502 Centennial Blvd, Suite 7, Voorhees, NJ 08043 Phone: 856-596-7440 Fax: 856-596-6723 | |
Nicole Melchior, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E300, Voorhees, NJ 08043 Phone: 856-247-7515 | |
Blair Hermansky, CORT Surgery Medicare: Not Enrolled in Medicare Practice Location: 1307 White Horse Rd Ste C501, Voorhees, NJ 08043 Phone: 856-784-2659 | |
Robert Minor, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Carnie Blvd, Suite 4, Voorhees, NJ 08043 Phone: 856-596-7440 Fax: 856-751-3320 | |
Alexandra Chudner, Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E355, Voorhees, NJ 08043 Phone: 856-247-7210 Fax: 856-247-7511 | |
Edwin Empaynado, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 502 Centennial Blvd, Suite 5, Voorhees, NJ 08043 Phone: 856-429-8030 Fax: 856-428-2718 | |
Dr. Michael B. Marchildon, MD Surgery Medicare: Medicare Enrolled Practice Location: Virtua And Dupont Childrens Health Program, 1000 White Horse Road Suite 204, Voorhees, NJ 08043 Phone: 856-309-8508 Fax: 856-309-8556 |