Kristin Patricia Dierks, MD is a medicare enrolled "Pediatrics" physician in Zebulon, North Carolina. Her current practice location is
116 E Horton St, Zebulon, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 269-2885.
Kristin Patricia Dierks is licensed to practice in North Carolina (license number 2013-02124) 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 1578726378.
Physician's Profile
Full Name | Kristin Patricia Dierks |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 116 E Horton St, Zebulon, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578726378
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 06/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 4789742982
- Enrollment ID: I20180612002566
Medical Identifiers
Medical identifiers for Kristin Patricia Dierks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578726378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0202X | Pediatrics - Pediatric Cardiology | 2013-02124 (North Carolina) | Secondary |
208000000X | Pediatrics | 2013-02124 (North Carolina) | 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. Kristin Patricia Dierks allows following entities to bill medicare on her behalf.
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
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Entity Name | Duke Health Integrated Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
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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. Kristin Patricia Dierks 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 |
Kristin Patricia Dierks, MD 260 Horizon Dr, Raleigh, NC 27615-4922 Ph: (919) 488-0015 | Kristin Patricia Dierks, MD 116 E Horton St, Zebulon, NC 27597-2820 Ph: (919) 269-2885 |
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