Theresa Marie Dierker, DO in Saint Clair Shores, MI

Theresa Marie Dierker, DO is a medicare enrolled "Family Medicine" physician in Saint Clair Shores, Michigan. Her current practice location is 25631 Little Mack Ave Ste 103, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 443-2333.

Theresa Marie Dierker is licensed to practice in Michigan (license number 5101027062) 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 1992324545.

Contact Information

	Theresa Marie Dierker, DO
	25631 Little Mack Ave Ste 103, Saint Clair Shores, MI 48081-2100
	(586) 443-2333
	Not Available

Map and Direction

Physician's Profile

Full Name	Theresa Marie Dierker
Gender	Female
Speciality	Family Medicine
Location	25631 Little Mack Ave Ste 103, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992324545
Provider Enumeration Date: 04/14/2020
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7113357872
Enrollment ID: I20230907003155

Medical Identifiers

Medical identifiers for Theresa Marie Dierker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992324545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101027062 (Michigan)	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. Theresa Marie Dierker allows following entities to bill medicare on her behalf.

Entity Name	Oakwood Ambulatory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401

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. Theresa Marie Dierker 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
Theresa Marie Dierker, DO 26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849 Ph: (947) 522-1952	Theresa Marie Dierker, DO 25631 Little Mack Ave Ste 103, Saint Clair Shores, MI 48081-2100 Ph: (586) 443-2333

Reviews and Comments

Family Medicine Doctors in Saint Clair Shores, MI

Dr. Nikola Cengelova Conrad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 586-498-4400 Fax: 586-498-4440
Dr. Mark Edward Holowinski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24100 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-443-4063 Fax: 586-443-4064
Dr. Emianka Sotiri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189
Tazkia Sadia Al-bari, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189
Shoshan P Zolo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Ste 103, Saint Clair Shores, MI 48081 Phone: 586-443-2333 Fax: 586-443-2332
Mark B Alrais, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21600 Harper Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-800-1001 Fax: 586-800-1002
Barbara Clare Tess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-779-8700 Fax: 586-498-1425

Theresa Marie Dierker, DO - Medicare Family Medicine in Saint Clair Shores, MI