Dr Clifton Dietrick, MD in Charleston, SC

Dr Clifton Dietrick, MD is a medicare enrolled "Pediatrics" physician in Charleston, South Carolina. His current practice location is 169 Ashley Ave Rm 202, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (724) 831-9949.

Dr Clifton Dietrick is licensed to practice in South Carolina (license number LL90355) 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 1962189308.

Contact Information

	Dr Clifton Dietrick, MD
	169 Ashley Ave Rm 202, Charleston, SC 29425-8905
	(724) 831-9949
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Clifton Dietrick
Gender	Male
Speciality	Pediatrics
Location	169 Ashley Ave Rm 202, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962189308
Provider Enumeration Date: 06/28/2023
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7113378829
Enrollment ID: I20240108000187

Medical Identifiers

Medical identifiers for Dr Clifton Dietrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962189308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	LL90355 (South Carolina)	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 Clifton Dietrick 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 Clifton Dietrick, MD 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 Ph: () -	Dr Clifton Dietrick, MD 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 Ph: (724) 831-9949

Reviews and Comments

Pediatrics Doctors in Charleston, SC

Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-876-0795
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265

Dr Clifton Dietrick, MD - Medicare Pediatrics in Charleston, SC