Scott A Dietrich, MD | |
1137 W Penn Ave, Womelsdorf, PA 19567-9770 | |
(610) 589-2555 | |
(610) 589-4940 |
Full Name | Scott A Dietrich |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 1137 W Penn Ave, Womelsdorf, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194721506 | NPI | - | NPPES |
001280830 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD045097L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Reading Hospital | West reading, PA | Hospital |
Good Samaritan Hospital | Lebanon, PA | Hospital |
St Joseph Medical Center | Reading, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tower Health Medical Group | 7618889213 | 577 |
Entity Name | Tower Health Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
Mailing Address | Practice Location Address |
---|---|
Scott A Dietrich, MD Po Box 13579, Reading, PA 19612-3579 Ph: () - | Scott A Dietrich, MD 1137 W Penn Ave, Womelsdorf, PA 19567-9770 Ph: (610) 589-2555 |
Constanta T Ebro-prokesh, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1137 W Penn Ave, Womelsdorf, PA 19567 Phone: 610-589-2555 Fax: 610-589-4940 | |
Albert D Roke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1137 W Penn Ave, Womelsdorf, PA 19567 Phone: 610-589-2555 Fax: 610-589-4940 | |
Elena O Mccabe, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1137 W Penn Ave, Womelsdorf, PA 19567 Phone: 610-589-2555 Fax: 610-589-4940 |