Jessica Bearden Dietert, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Manor, Texas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2013 and has 11 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice Westlake Dermatology Pa and her current practice location is
14008 Shadowglen Blvd Ste 200, Manor, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 444-7208.
Jessica Bearden Dietert is licensed to practice in Texas (license number R7710) 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 1548605769.
Physician's Profile
Full Name | Jessica Bearden Dietert |
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Gender | Female |
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Speciality | Micrographic Dermatologic Surgery (mds) |
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Experience | 11 Years |
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Location | 14008 Shadowglen Blvd Ste 200, Manor, Texas |
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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:
- Jessica Bearden Dietert attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2013
NPI Data:
- NPI Number: 1548605769
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 11/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901155431
- Enrollment ID: I20180816002543
Medical Identifiers
Medical identifiers for Jessica Bearden Dietert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548605769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | R7710 (Texas) | Secondary |
207R00000X | Internal Medicine | 1548605769 (Texas) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | R7710 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Westlake Dermatology Pa | 6305817230 | 40 |
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. Jessica Bearden Dietert allows following entities to bill medicare on her behalf.
Entity Name | Westlake Dermatology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518939347 PECOS PAC ID: 6305817230 Enrollment ID: O20040804000774 |
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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. Jessica Bearden Dietert 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 |
Jessica Bearden Dietert, MD 4419 Frontier Trl Ste 110, Austin, TX 78745-1567 Ph: (512) 444-7208 | Jessica Bearden Dietert, MD 14008 Shadowglen Blvd Ste 200, Manor, TX 78653-3406 Ph: (512) 444-7208 |
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