Jon Fredrick Dietlein, MD is a medicare enrolled "Ophthalmology" physician in Georgetown, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1985 and has 39 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Jon F Dietlein, M.d., P.a. and his current practice location is
311 River Bend Dr, Georgetown, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 931-2255.
Jon Fredrick Dietlein is licensed to practice in Texas (license number H0298) 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 1811901887.
Physician's Profile
| Full Name | Jon Fredrick Dietlein |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 39 Years |
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| Location | 311 River Bend Dr, Georgetown, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jon Fredrick Dietlein attended and graduated from University Of Texas Medical Branch At Galveston in 1985
NPI Data:
- NPI Number: 1811901887
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507893658
- Enrollment ID: I20050720001045
Medical Identifiers
Medical identifiers for Jon Fredrick Dietlein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811901887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | H0298 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jon F Dietlein, M.d., P.a. | 4486676491 | 3 |
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. Jon Fredrick Dietlein allows following entities to bill medicare on his behalf.
| Entity Name | Jon F Dietlein, M.d., P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285797621
PECOS PAC ID: 4486676491
Enrollment ID: O20051219000709 |
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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. Jon Fredrick Dietlein 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 |
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Jon Fredrick Dietlein, MD
311 River Bend Dr,
Georgetown, TX 78628-2782
Ph: (512) 931-2255 | Jon Fredrick Dietlein, MD
311 River Bend Dr,
Georgetown, TX 78628-2782
Ph: (512) 931-2255 |
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