Dr Nicole Alyssa Emma Dietz, MD, PHD in Fairfax, VA

Dr Nicole Alyssa Emma Dietz, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fairfax, Virginia. She went to Georgetown University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Inova Health Care Services, Neurology Center Of Fairfax, Ltd and her current practice location is 3020 Hamaker Ct, Suite 400, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 876-0800.

Dr Nicole Alyssa Emma Dietz is licensed to practice in Virginia (license number 0101250750) 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 1265595623.

Contact Information

	Dr Nicole Alyssa Emma Dietz, MD, PHD
	3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238
	(703) 876-0800
	(703) 876-0866

Map and Direction

Physician's Profile

Full Name	Dr Nicole Alyssa Emma Dietz
Gender	Female
Speciality	Neurology
Experience	18 Years
Location	3020 Hamaker Ct, Fairfax, Virginia
Accepts Medicare Assignments	Yes. 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 Nicole Alyssa Emma Dietz attended and graduated from Georgetown University School Of Medicine in 2006

NPI Data:

NPI Number: 1265595623
Provider Enumeration Date: 12/18/2006
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3678716495
Enrollment ID: I20130827000354

Medical Identifiers

Medical identifiers for Dr Nicole Alyssa Emma Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265595623	NPI	-	NPPES
1265595623	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0301X	Psychiatry & Neurology - Brain Injury Medicine	0101250750 (Virginia)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	0101250750 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fairfax Hospital	Falls church, VA	Hospital
Reston Hospital Center	Reston, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inova Health Care Services	2466351093	1778
Neurology Center Of Fairfax, Ltd	3577558659	14

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 Nicole Alyssa Emma Dietz allows following entities to bill medicare on her behalf.

Entity Name	Neurology Center Of Fairfax, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346285681 PECOS PAC ID: 3577558659 Enrollment ID: O20040417000600

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 Nicole Alyssa Emma Dietz 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 Nicole Alyssa Emma Dietz, MD, PHD 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 Ph: (703) 876-0800	Dr Nicole Alyssa Emma Dietz, MD, PHD 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 Ph: (703) 876-0800

Reviews and Comments

Psychiatry & Neurology Doctors in Fairfax, VA

Laura Anne Cinski, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031 Phone: 571-472-4200 Fax: 571-472-4201
Dr. Ashley Chorath, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr # 425, Fairfax, VA 22031 Phone: 703-289-7599
Dr. Amy Safadi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8081 Innovation Park Dr # 900, Fairfax, VA 22031 Phone: 571-472-4200 Fax: 571-472-4190
Muhammad Taimoor Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031 Phone: 571-472-4200 Fax: 571-472-4201
Dr. Ravinderpal Singh, M.D, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11204 Waples Mill Rd, Fairfax, VA 22030 Phone: 703-218-8500 Fax: 703-359-0463
Dr. Siddharth Bajpai, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8500 Executive Park Ave, Ste 200, Fairfax, VA 22031 Phone: 319-356-1616 Fax: 703-573-2351
Dr. Richard C Seestedt, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031 Phone: 703-876-0800 Fax: 703-876-0866

Dr Nicole Alyssa Emma Dietz, MD, PHD - Medicare Neurology in Fairfax, VA