John Dietrick Iii, MD in Tampa, FL - Medicare General Surgery

John Dietrick Iii, MD is a medicare enrolled "Surgery" physician in Tampa, Florida. He went to Wright State University Boonshoft School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Florida Hospital Physician Group Inc and his current practice location is 3000 Medical Park Dr, Suite 330, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 971-2470.

John Dietrick Iii is licensed to practice in Florida (license number ME88224) 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 1124103528.

Contact Information

	John Dietrick Iii, MD
	3000 Medical Park Dr, Suite 330, Tampa, FL 33613-4680
	(813) 971-2470
	(813) 971-2491

Map and Direction

Physician's Profile

Full Name	John Dietrick Iii
Gender	Male
Speciality	General Surgery
Experience	41 Years
Location	3000 Medical Park Dr, Tampa, Florida
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:

John Dietrick Iii attended and graduated from Wright State University Boonshoft School Of Medicine in 1983

NPI Data:

NPI Number: 1124103528
Provider Enumeration Date: 10/25/2006
Last Update Date: 12/19/2008

Medicare PECOS Information:

PECOS PAC ID: 9638082571
Enrollment ID: I20040618000641

Medical Identifiers

Medical identifiers for John Dietrick Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124103528	NPI	-	NPPES
273011100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME88224 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Tampa	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Hospital Physician Group Inc	2365679057	437

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. John Dietrick Iii allows following entities to bill medicare on his behalf.

Entity Name	Florida Hospital Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600

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. John Dietrick Iii 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
John Dietrick Iii, MD 1904 W Morrison Ave, Tampa, FL 33606-2831 Ph: (813) 258-9864	John Dietrick Iii, MD 3000 Medical Park Dr, Suite 330, Tampa, FL 33613-4680 Ph: (813) 971-2470

Reviews and Comments

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Dr. Karl Armistead Illig, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606
Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: Medicare Enrolled Practice Location: 3001 W Dr Mlk Blvd, Tampa, FL 33607 Phone: 813-554-8384 Fax: 813-443-8160
Gavin R Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412

John Dietrick Iii, MD - Medicare General Surgery in Tampa, FL