Dr Danielle Marie Dietz, MD is a medicare enrolled "Surgery" physician in Georgetown, Kentucky. She went to University Of Kentucky College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Kentucky Mso Llc and her current practice location is
1138 Lexington Rd, Suite 230, Georgetown, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 570-3778.
Dr Danielle Marie Dietz is licensed to practice in Kentucky (license number 40300) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558468462.
Physician's Profile
| Full Name | Dr Danielle Marie Dietz |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 24 Years |
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| Location | 1138 Lexington Rd, Georgetown, Kentucky |
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| Accepts Medicare Assignments | Yes. She 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 Danielle Marie Dietz attended and graduated from University Of Kentucky College Of Medicine in 2000
NPI Data:
- NPI Number: 1558468462
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 06/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921009150
- Enrollment ID: I20070130000596
Medical Identifiers
Medical identifiers for Dr Danielle Marie Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558468462 | NPI | - | NPPES |
| 7100003310 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | TP770 (Kentucky) | Secondary |
| 208600000X | Surgery | 40300 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kentucky Mso Llc | 0749450633 | 50 |
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 Danielle Marie Dietz allows following entities to bill medicare on her behalf.
| Entity Name | Kentucky Mso Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164867883
PECOS PAC ID: 0749450633
Enrollment ID: O20110901000380 |
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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 Danielle Marie Dietz 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 Danielle Marie Dietz, MD
1138 Lexington Rd, Suite 230,
Georgetown, KY 40324-9672
Ph: (502) 570-3778 | Dr Danielle Marie Dietz, MD
1138 Lexington Rd, Suite 230,
Georgetown, KY 40324-9672
Ph: (502) 570-3778 |
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