Dr Dietrich Werner Idiaquez, MD in Tampa, FL

Dr Dietrich Werner Idiaquez, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Tampa, Florida. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Pathology. He is a member of the group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc and his current practice location is 12902 Usf Magnolia Dr Dept Of, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (902) 789-0518.

Dr Dietrich Werner Idiaquez is licensed to practice in Florida (license number 152109) 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 1578210779.

Contact Information

	Dr Dietrich Werner Idiaquez, MD
	12902 Usf Magnolia Dr Dept Of, Tampa, FL 33612-9416
	(902) 789-0518
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dietrich Werner Idiaquez
Gender	Male
Speciality	Pathology
Experience	29 Years
Location	12902 Usf Magnolia Dr Dept Of, Tampa, Florida
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:

Dr Dietrich Werner Idiaquez graduated from medical school in 1995

NPI Data:

NPI Number: 1578210779
Provider Enumeration Date: 03/07/2022
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 8325425713
Enrollment ID: I20220525000690

Medical Identifiers

Medical identifiers for Dr Dietrich Werner Idiaquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578210779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZH0000X	Pathology - Hematology	152109 (Florida)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	152109 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc	2264337021	936

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 Dietrich Werner Idiaquez allows following entities to bill medicare on his behalf.

Entity Name	H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575

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 Dietrich Werner Idiaquez 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 Dietrich Werner Idiaquez, MD 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (902) 789-0518	Dr Dietrich Werner Idiaquez, MD 12902 Usf Magnolia Dr Dept Of, Tampa, FL 33612-9416 Ph: (902) 789-0518

Reviews and Comments

Pathology Doctors in Tampa, FL

Dr. Ifeanyi Victor Nwadukwe, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 5481 W Waters Ave Ste 111, Tampa, FL 33634 Phone: 813-577-4686
Dr. Theresa A Boyle, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 12902 Magnolia Dr, Moffitt Cancer Center, Tampa, FL 33612 Phone: 813-745-4673
Joseph Andrew Migliozzi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 9812 Compass Point Way, Tampa, FL 33615 Phone: 813-495-6268 Fax: 813-876-2507
Dr. Steven John Agosti, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, P&lm Service (113), Jah Va Hospital, Tampa, FL 33612 Phone: 813-972-2000 Fax: 813-978-5827
Dr. Sarah Booker Hugar, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5481 W Waters Ave, Tampa, FL 33634 Phone: 813-577-4686
Andrew A Borkowski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7525 Fax: 813-978-5827
Thora Steffensen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5751 Hoover Blvd, Tampa, FL 33634 Phone: 813-886-8334

Dr Dietrich Werner Idiaquez, MD - Medicare Pathology in Tampa, FL