Mark Dieterich, MD in Evanston, IL

Mark Dieterich, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Evanston, Illinois. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 2650 Ridge Ave, Evanston Hospital Rm 1210, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-1206.

Mark Dieterich is licensed to practice in Illinois (license number 036090861) 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 1043267461.

Contact Information

	Mark Dieterich, MD
	2650 Ridge Ave, Evanston Hospital Rm 1210, Evanston, IL 60201-1718
	(847) 570-1206
	(847) 570-1248

Map and Direction

Physician's Profile

Full Name	Mark Dieterich
Gender	Male
Speciality	Pathology
Experience	35 Years
Location	2650 Ridge Ave, Evanston, Illinois
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:

Mark Dieterich attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1989

NPI Data:

NPI Number: 1043267461
Provider Enumeration Date: 05/30/2006
Last Update Date: 04/25/2008

Medicare PECOS Information:

PECOS PAC ID: 9335178532
Enrollment ID: I20050808001207

Medical Identifiers

Medical identifiers for Mark Dieterich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043267461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	036090861 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Swedish Covenant Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Mark Dieterich allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Mark Dieterich 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
Mark Dieterich, MD 2650 Ridge Ave, Evanston Hospital Rm 1210, Evanston, IL 60201-1718 Ph: (847) 570-1206	Mark Dieterich, MD 2650 Ridge Ave, Evanston Hospital Rm 1210, Evanston, IL 60201-1718 Ph: (847) 570-1206

Reviews and Comments

Pathology Doctors in Evanston, IL

Dr. Thomas Lee Cibull, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2040 Fax: 847-733-5315
William Glen Watkin, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248
Dr. Vivian Setsuko Snyder, D.O. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Avenue, Department Of Pathology, Evanston, IL 60201 Phone: 847-570-2730 Fax: 847-570-1938
Muhammad Usama, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2749
Dr. Janis Atkinson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-2284 Fax: 847-316-2943
Dorota M. Filipiuk, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-2284 Fax: 847-316-2943

Mark Dieterich, MD - Medicare Pathology in Evanston, IL