Kristen Shaw Deitchman, DO in Nottingham, MD

Kristen Shaw Deitchman, DO is a medicare enrolled "Pediatrics" physician in Nottingham, Maryland. Her current practice location is 4924 Campbell Blvd, Suite 200, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 442-2300.

Kristen Shaw Deitchman is licensed to practice in Maryland (license number H0081342) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477849149.

Contact Information

	Kristen Shaw Deitchman, DO
	4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908
	(443) 442-2300
	(410) 367-2035

Map and Direction

Physician's Profile

Full Name	Kristen Shaw Deitchman
Gender	Female
Speciality	Pediatrics
Location	4924 Campbell Blvd, Nottingham, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477849149
Provider Enumeration Date: 06/21/2011
Last Update Date: 10/17/2016

Medicare PECOS Information:

PECOS PAC ID: 1355663436
Enrollment ID: I20161115000436

Medical Identifiers

Medical identifiers for Kristen Shaw Deitchman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477849149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	H0081342 (Maryland)	Primary

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. Kristen Shaw Deitchman allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

Entity Name	Upper Chesapeake Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497801419 PECOS PAC ID: 3173556974 Enrollment ID: O20050913000525

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. Kristen Shaw Deitchman 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
Kristen Shaw Deitchman, DO 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 Ph: (443) 442-2300	Kristen Shaw Deitchman, DO 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 Ph: (443) 442-2300

Reviews and Comments

Pediatrics Doctors in Nottingham, MD

Smita N Vazarkar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236 Phone: 443-442-2300
Christina Margaret Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600 Fax: 410-933-7601
Ethel Mojoko, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, #200, Nottingham, MD 21236 Phone: 443-442-2300
Dr. Anthony F Pinto Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236 Phone: 443-442-2300
Dr. Richard Laroy Dietrich, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236 Phone: 410-933-7600 Fax: 410-933-7802
Dr. Judith Rubin Dejarnette, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600

Kristen Shaw Deitchman, DO - Medicare Pediatrics in Nottingham, MD