Jessica Bearden Dietert, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Manor, Texas. 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 | |
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Experience | 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 in
NPI Data:
- NPI Number: 1548605769
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 11/03/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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