Dr Jason Michael Dierking, MD is a medicare enrolled "Surgery" physician in Storm Lake, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Buena Vista Regional Medical Center and his current practice location is
210 E 5th St, Storm Lake, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 213-4750.
Dr Jason Michael Dierking is licensed to practice in Iowa (license number 37099) 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 1477675940.
Physician's Profile
| Full Name | Dr Jason Michael Dierking |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 22 Years |
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| Location | 210 E 5th St, Storm Lake, Iowa |
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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. |
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Medical Education and Training:
- Dr Jason Michael Dierking attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2002
NPI Data:
- NPI Number: 1477675940
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 10/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274624093
- Enrollment ID: I20070808000826
Medical Identifiers
Medical identifiers for Dr Jason Michael Dierking such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477675940 | NPI | - | NPPES |
| 0786335 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 37099 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Buena Vista Regional Medical Center | 3476464421 | 12 |
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 Jason Michael Dierking allows following entities to bill medicare on his behalf.
| Entity Name | Buena Vista Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780755728
PECOS PAC ID: 3476464421
Enrollment ID: O20040109001054 |
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| Entity Name | Buena Vista Regional Medical Center |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1134191653
PECOS PAC ID: 3476464421
Enrollment ID: O20070125000132 |
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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 Jason Michael Dierking 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 Jason Michael Dierking, MD
1525 W 5th St,
Storm Lake, IA 50588-3027
Ph: (712) 213-4750 | Dr Jason Michael Dierking, MD
210 E 5th St,
Storm Lake, IA 50588-2342
Ph: (712) 213-4750 |
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