Dr Kevin Clayton Dietrich, MD | |
13001 E. 17th Place, University Of Colorado School Of Medicine Gme, Aurora, CO 80045-2581 | |
(303) 724-2685 | |
Not Available |
Full Name | Dr Kevin Clayton Dietrich |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 10 Years |
Location | 13001 E. 17th Place, Aurora, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639597636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036159348 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Bloomington, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Visionpoint Eye Center Llc | 0749522092 | 13 |
Entity Name | Visionpoint Eye Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518430859 PECOS PAC ID: 0749522092 Enrollment ID: O20190507000863 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Clayton Dietrich, MD 1107 Airport Rd, Bloomington, IL 61704-2544 Ph: (309) 662-7700 | Dr Kevin Clayton Dietrich, MD 13001 E. 17th Place, University Of Colorado School Of Medicine Gme, Aurora, CO 80045-2581 Ph: (303) 724-2685 |
Dr. James Russell Burcham Iii, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 750 Potomac St, Suite 223, Aurora, CO 80011 Phone: 303-340-4600 Fax: 303-367-8300 | |
Mr. Michael James Gilhooley, MB PHD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1675 Aurora Court, Aurora, CO 80045 Phone: 303-724-6533 | |
Dr. Kim Burrell, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 15901 E Briarwood Cir, Suite 100, Aurora, CO 80016 Phone: 303-699-3107 Fax: 303-699-3170 | |
J Bronwyn Bateman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Marc T. Mathias, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Daniel James Ozzello, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1675 Aurora Ct, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Lynn Marisa Hassman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1675 Aurora Ct, Aurora, CO 80045 Phone: 720-848-0000 |