Megan Dietze-fiedler, MD in Green Bay, WI

Megan Dietze-fiedler, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Green Bay, Wisconsin. Her current practice location is 2461 Holmgren Way, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Megan Dietze-fiedler is licensed to practice in Wisconsin (license number 82071-20) 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 1699126052.

Contact Information

	Megan Dietze-fiedler, MD
	2461 Holmgren Way, Green Bay, WI 54304-5224
	(920) 496-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Megan Dietze-fiedler
Gender	Female
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	2461 Holmgren Way, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699126052
Provider Enumeration Date: 06/28/2016
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5799079703
Enrollment ID: I20230821001679

Medical Identifiers

Medical identifiers for Megan Dietze-fiedler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699126052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	82071-20 (Wisconsin)	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. Megan Dietze-fiedler allows following entities to bill medicare on her behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Megan Dietze-fiedler 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
Megan Dietze-fiedler, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Megan Dietze-fiedler, MD 2461 Holmgren Way, Green Bay, WI 54304-5224 Ph: (920) 496-4700

Reviews and Comments

Surgery Doctors in Green Bay, WI

Edgar (ted) King Collison Iv, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700
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Dr. Teresa A Gonzaga, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-857-1488
Benjamin Andrew, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1860 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Carrie Ann Thoms, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1379
Daniel Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Karri Adamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240

Megan Dietze-fiedler, MD - Medicare Surgery in Green Bay, WI