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 | 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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