Dr M Lyndon Dieter, MD is a medicare enrolled "Anesthesiology" physician in Moses Lake, Washington. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Grant County Public Hospital District 1 and his current practice location is
801 E Wheeler Rd, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 765-5606.
Dr M Lyndon Dieter is licensed to practice in Washington (license number MD60212924) 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 1508857103.
Physician's Profile
| Full Name | Dr M Lyndon Dieter |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 17 Years |
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| Location | 801 E Wheeler Rd, Moses Lake, 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 M Lyndon Dieter graduated from medical school in 2007
NPI Data:
- NPI Number: 1508857103
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 02/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062552839
- Enrollment ID: I20120105000734
Medical Identifiers
Medical identifiers for Dr M Lyndon Dieter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508857103 | NPI | - | NPPES |
| 2015006 | Medicaid | WA | |
| 453051001 | Other | AZ | GROUP HEALTH GRP # |
| 860373636 | Other | AZ | HUMANA GROUP # |
| AW1436 | Other | AZ | HEALTHNET GRP # |
| 3981220 | Other | AZ | EVERCARE GROUP # |
| 358566 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 125.054676 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 036.124143 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 1452 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | MD60212924 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grant County Public Hospital District 1 | 9931095692 | 88 |
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 M Lyndon Dieter allows following entities to bill medicare on his behalf.
| Entity Name | Grant County Public Hospital District 1 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619086766
PECOS PAC ID: 9931095692
Enrollment ID: O20040227000602 |
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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 M Lyndon Dieter 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 M Lyndon Dieter, MD
660 S Coolidge St,
Moses Lake, WA 98837-1872
Ph: (509) 793-9715 | Dr M Lyndon Dieter, MD
801 E Wheeler Rd,
Moses Lake, WA 98837-1899
Ph: (509) 765-5606 |
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