Dr Thomas William Dietzman, MD - Medicare Pediatrics in Philadelphia, PA

Dr Thomas William Dietzman, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Philadelphia, Pennsylvania. His current practice location is 3401 Civic Center Blvd, Division Of Cardiology, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 590-2367.

Dr Thomas William Dietzman is licensed to practice in Pennsylvania (license number MD457635) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548608110.

Contact Information

Dr Thomas William Dietzman, MD
3401 Civic Center Blvd, Division Of Cardiology,
Philadelphia, PA 19104-4319
(215) 590-2367
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas William Dietzman
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548608110
  • Provider Enumeration Date: 06/05/2013
  • Last Update Date: 06/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628494127
  • Enrollment ID: I20200814000367

Medical Identifiers

Medical identifiers for Dr Thomas William Dietzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548608110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LC0200XAnesthesiology - Critical Care Medicine MD457635 (Pennsylvania)Secondary
2080P0202XPediatrics - Pediatric Cardiology MD457635 (Pennsylvania)Primary

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 Thomas William Dietzman allows following entities to bill medicare on his behalf.
Entity NameChildrens Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598869059
PECOS PAC ID: 1355253527
Enrollment ID: O20040216001108
Entity NameChildrens Anesthesiology Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689779480
PECOS PAC ID: 5799688529
Enrollment ID: O20040324000032

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 Thomas William Dietzman 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 Thomas William Dietzman, MD
3401 Civic Center Blvd, Division Of Pediatric Cardiology,
Philadelphia, PA 19104

Ph: (215) 590-1220
Dr Thomas William Dietzman, MD
3401 Civic Center Blvd, Division Of Cardiology,
Philadelphia, PA 19104-4319

Ph: (215) 590-2367

Reviews and Comments


Pediatrics Doctors in Philadelphia, PA

Aaron Dorfman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology, Philadelphia, PA 19104
Phone: 215-590-4040    Fax: 267-425-9800
Brian Lestini, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104
Phone: 215-590-1000    Fax: 215-590-2204
Elizabeth Foglia, MD
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Medicare: Medicare Enrolled
Practice Location: 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104
Phone: 215-662-3228    Fax: 215-349-8831
Dr. Katharine Taylor Levinson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 34th St And Civic Ctr Blvd, Philadelphia, PA 19104
Phone: 215-590-1000    Fax: 215-481-8795
Ms. Amman Hassan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5501 Old York Rd, Philadelphia, PA 19141
Phone: 215-456-3810    
Geoffrey Libarnes Bajwa, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 160 E Erie Ave, Philadelphia, PA 19134
Phone: 215-427-5000    
Helen Marie Stanley, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104
Phone: 215-590-1220    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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