Dr Kenneth Anthony Dietrich, MD, MBA is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Elma, Washington. His current practice location is
600 E Main St, Elma, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 346-2240.
Dr Kenneth Anthony Dietrich is licensed to practice in Washington (license number 27133) 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 1245288752.
Physician's Profile
| Full Name | Dr Kenneth Anthony Dietrich |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 600 E Main St, Elma, Washington |
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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 Kenneth Anthony Dietrich attended and graduated from in
NPI Data:
- NPI Number: 1245288752
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 04/04/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kenneth Anthony Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245288752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 27133 (Washington) | 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 Kenneth Anthony Dietrich 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 Kenneth Anthony Dietrich, MD, MBA
600 E Main St,
Elma, WA 98541-9560
Ph: (360) 346-2240 | Dr Kenneth Anthony Dietrich, MD, MBA
600 E Main St,
Elma, WA 98541-9560
Ph: (360) 346-2240 |
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