Stacy Melissa Dietzgen, MD in Seattle, WA - Medicare Internal Medicine

Stacy Melissa Dietzgen, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Seattle, Washington. Her current practice location is 1959 Ne Pacific St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 598-4333.

Stacy Melissa Dietzgen is licensed to practice in Washington (license number MD60492901) 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 1487920575.

Contact Information

	Stacy Melissa Dietzgen, MD
	1959 Ne Pacific St, Seattle, WA 98195-0001
	(206) 598-4333
	Not Available

Map and Direction

Physician's Profile

Full Name	Stacy Melissa Dietzgen
Gender	Female
Speciality	Internal Medicine - Cardiovascular Disease
Location	1959 Ne Pacific St, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487920575
Provider Enumeration Date: 03/22/2012
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2466777131
Enrollment ID: I20160804001373

Medical Identifiers

Medical identifiers for Stacy Melissa Dietzgen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487920575	NPI	-	NPPES
1487920575	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD60492901 (Washington)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD60492901 (Washington)	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. Stacy Melissa Dietzgen allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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. Stacy Melissa Dietzgen 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
Stacy Melissa Dietzgen, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420	Stacy Melissa Dietzgen, MD 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 598-4333

Reviews and Comments

Internal Medicine Doctors in Seattle, WA

Sandhya Ramanathan Panch, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000
Stephen A Lopez, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 925 Seneca St, Seattle, WA 98101 Phone: 206-341-0860
Dr. Susan Hunt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Uwmc Department Of Medicine, Box 356429, Seattle, WA 98195 Phone: 206-221-7993 Fax: 206-221-8732
Timothy William Menza, MD, PHD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Dr. Vinay Gupta, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6980 Fax: 206-223-6982
Dr. Maria Ann Corcorran, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1550 N 115th St, Seattle, WA 98133 Phone: 206-520-5000
Vyshak Alva Venur, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5700

Stacy Melissa Dietzgen, MD - Medicare Internal Medicine in Seattle, WA