Pam Dietz, CPNP is a
Nurse Practitioner - Pediatrics physician based in Fishers, Indiana. Pam Dietz is licensed to practice in Indiana (license number 2811972A) and her current practice location is 13050 Parkside Dr, 150, Fishers, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 621-9000.
NPI number for Pam Dietz is 1992900450 and her current mailing address is 13050 Parkside Dr, 150, Fishers, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992900450.
Physician's Profile
| Full Name | Pam Dietz |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 13050 Parkside Dr, Fishers, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992900450
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 02/24/2012
Medical Identifiers
Medical identifiers for Pam Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992900450 | NPI | - | NPPES |
| 351767385 | Other | IN | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 2811972A (Indiana) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 2811972A (Indiana) | Primary |
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. Pam Dietz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pam Dietz, CPNP
13050 Parkside Dr, 150,
Fishers, IN 46038-8247
Ph: (317) 621-9000 | Pam Dietz, CPNP
13050 Parkside Dr, 150,
Fishers, IN 46038-8247
Ph: (317) 621-9000 |
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