Dr Russell D Deidiker, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Farmington, Missouri. His current practice location is
1212 Weber Rd, Suite 205, Farmington, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 756-4581.
Dr Russell D Deidiker is licensed to practice in Missouri (license number 113238) 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 1841265345.
Physician's Profile
| Full Name | Dr Russell D Deidiker |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1212 Weber Rd, Farmington, Missouri |
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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 Russell D Deidiker attended and graduated from in
NPI Data:
- NPI Number: 1841265345
- Provider Enumeration Date: 02/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Russell D Deidiker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841265345 | NPI | - | NPPES |
| 208729707 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 113238 (Missouri) | 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 Russell D Deidiker 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 Russell D Deidiker, MD
312 Louise St,
Farmington, MO 63640-2706
Ph: (573) 756-4581 | Dr Russell D Deidiker, MD
1212 Weber Rd, Suite 205,
Farmington, MO 63640-3325
Ph: (573) 756-4581 |
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