Thomas Charles Dittrich, MD - Medicare Emergency Medicine in Charleston, SC

Thomas Charles Dittrich, MD is a medicare enrolled "Emergency Medicine" physician in Charleston, South Carolina. He went to Temple University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Broad River Physicians Group, Llc and his current practice location is 2095 Henry Tecklenburg Dr, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (518) 429-9295.

Thomas Charles Dittrich is licensed to practice in South Carolina (license number 39224) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407291990.

Contact Information

Thomas Charles Dittrich, MD
2095 Henry Tecklenburg Dr,
Charleston, SC 29414-5733
(518) 429-9295
Not Available

Map and Direction




Physician's Profile

Full NameThomas Charles Dittrich
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location2095 Henry Tecklenburg Dr, Charleston, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Charles Dittrich attended and graduated from Temple University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1407291990
  • Provider Enumeration Date: 05/09/2013
  • Last Update Date: 07/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981902376
  • Enrollment ID: I20160810001794

Medical Identifiers

Medical identifiers for Thomas Charles Dittrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407291990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 39224 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Roper St Francis Hospital-berkely IncMoncks corner, SCHospital
Bon Secours-st Francis Xavier HospitalCharleston, SCHospital
Roper HospitalCharleston, SCHospital
Mount Pleasant HospitalMount pleasant, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Broad River Physicians Group, Llc812338514359

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. Thomas Charles Dittrich allows following entities to bill medicare on his behalf.
Entity NameRoper Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104983055
PECOS PAC ID: 8426958919
Enrollment ID: O20040114000413
Entity NameBon Secours St Francis Xavier Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770867442
PECOS PAC ID: 8325008717
Enrollment ID: O20041011000439
Entity NameRoper St. Francis Mount Pleasant Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629499298
PECOS PAC ID: 1658567326
Enrollment ID: O20110207000316
Entity NameRoper St Francis Hospital-berkeley Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679120828
PECOS PAC ID: 4981933256
Enrollment ID: O20191029001057
Entity NameBroad River Physicians Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295443000
PECOS PAC ID: 8123385143
Enrollment ID: O20230103000298

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. Thomas Charles Dittrich 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 AddressPractice Location Address
Thomas Charles Dittrich, MD
2095 Henry Tecklenburg Dr,
Charleston, SC 29414-5733

Ph: (843) 402-1037
Thomas Charles Dittrich, MD
2095 Henry Tecklenburg Dr,
Charleston, SC 29414-5733

Ph: (518) 429-9295

Reviews and Comments


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Dr. Gary L. Rose, DNP, FNP, ENP, APRN
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Dr. Kelli Marie Young, D.O.
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Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414
Phone: 843-402-1037    Fax: 843-402-1295

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.