Dr Timothy John Dietrich, DO in Maumelle, AR

Dr Timothy John Dietrich, DO is a medicare enrolled "Internal Medicine" physician in Maumelle, Arkansas. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Arkansas Health Group and his current practice location is 1705 Club Manor Drive,, Suite 2, Maumelle, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 851-7402.

Dr Timothy John Dietrich is licensed to practice in Arkansas (license number E-3259) 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 1053654608.

Contact Information

	Dr Timothy John Dietrich, DO
	1705 Club Manor Drive,, Suite 2, Maumelle, AR 72113-7401
	(501) 851-7402
	(501) 851-4753

Map and Direction

Physician's Profile

Full Name	Dr Timothy John Dietrich
Gender	Male
Speciality	Internal Medicine
Experience	11 Years
Location	1705 Club Manor Drive,, Maumelle, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy John Dietrich graduated from medical school in 2013

NPI Data:

NPI Number: 1053654608
Provider Enumeration Date: 04/02/2013
Last Update Date: 09/02/2016

Medicare PECOS Information:

PECOS PAC ID: 0446576979
Enrollment ID: I20161020002351

Medical Identifiers

Medical identifiers for Dr Timothy John Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053654608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	E-3259 (Arkansas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center-little Rock	Little rock, AR	Hospital
Baptist Health Medical Center-stuttgart	Stuttgart, AR	Hospital
Drew Memorial Hospital	Monticello, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Arkansas Health Group	7911802079	517

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 Timothy John Dietrich allows following entities to bill medicare on his behalf.

Entity Name	Baptist Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578593067 PECOS PAC ID: 0648177949 Enrollment ID: O20031215000977

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932118890 PECOS PAC ID: 7911802079 Enrollment ID: O20040726000650

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 Timothy John Dietrich 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 Timothy John Dietrich, DO 1701 Club Manor Drive, , Suite 2, Maumelle, AR 72113-7401 Ph: (501) 851-7402	Dr Timothy John Dietrich, DO 1705 Club Manor Drive,, Suite 2, Maumelle, AR 72113-7401 Ph: (501) 851-7402

Reviews and Comments

Internal Medicine Doctors in Maumelle, AR

Shamna Mohammed, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113 Phone: 501-851-7402 Fax: 501-851-4753
Dr. Namrah Ali, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113 Phone: 501-851-7402 Fax: 501-851-4753
Dr. Terence Benjamin Wilson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7 Norfork Cv, Maumelle, AR 72113 Phone: 501-803-0361
Dmitry Alekseevich Nedosekin, MD, PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1701 Club Manor Dr, Maumelle, AR 72113 Phone: 501-851-7402 Fax: 501-851-4753
Anna Szwedo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113 Phone: 501-851-7400
Lovepreet Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113 Phone: 501-851-7402 Fax: 501-851-4753

Dr Timothy John Dietrich, DO - Medicare Internal Medicine in Maumelle, AR