Dr Kristine Adell Dettloff, MD - Medicare Diagnostic Radiology in Washington, DC

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Dr Kristine Adell Dettloff, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Washington, District Of Columbia. She went to Georgetown University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Howard University, Blackwell Physicians, Llc and her current practice location is 2041 Georgia Ave Nw Ste 1r84, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 865-1900.

Dr Kristine Adell Dettloff is licensed to practice in District Of Columbia (license number MD037715) 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 1467565192.

Contact Information

Dr Kristine Adell Dettloff, MD
2041 Georgia Ave Nw Ste 1r84,
Washington, DC 20060-4000
(202) 865-1900
Not Available

Map and Direction




Physician's Profile

Full NameDr Kristine Adell Dettloff
GenderFemale
SpecialityDiagnostic Radiology
Experience22 Years
Location2041 Georgia Ave Nw Ste 1r84, Washington, District Of Columbia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kristine Adell Dettloff attended and graduated from Georgetown University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1467565192
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507998481
  • Enrollment ID: I20100929001392

Medical Identifiers

Medical identifiers for Dr Kristine Adell Dettloff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467565192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology D7050588 (Maryland)Secondary
2085R0202XRadiology - Diagnostic Radiology MD037715 (District Of Columbia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Howard University0941109565139
Blackwell Physicians, Llc216381038329

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 Kristine Adell Dettloff allows following entities to bill medicare on her behalf.
Entity NameMedical Faculty Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417990581
PECOS PAC ID: 4082528898
Enrollment ID: O20031117000341
Entity NameHoward University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033163597
PECOS PAC ID: 0941109565
Enrollment ID: O20040102000561
Entity NameImaging Associates Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699072611
PECOS PAC ID: 1254503345
Enrollment ID: O20191101001296
Entity NameEmpire State Radiology P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255962783
PECOS PAC ID: 4385075241
Enrollment ID: O20200512003610
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20200924002899
Entity NameBlackwell Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932772589
PECOS PAC ID: 2163810383
Enrollment ID: O20211021001344

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 Kristine Adell Dettloff 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 AddressPractice Location Address
Dr Kristine Adell Dettloff, MD
4850 Chevy Chase Dr,
Chevy Chase, MD 20815-6420

Ph: (301) 801-3867		Dr Kristine Adell Dettloff, MD
2041 Georgia Ave Nw Ste 1r84,
Washington, DC 20060-4000

Ph: (202) 865-1900

Reviews and Comments


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