Brett Andrew Dietzman, FNP - Medicare Nurse Practitioner in Johnson City, NY

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Brett Andrew Dietzman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, New York. His current practice location is 33-57 Harrison St, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at (607) 763-6412.

Brett Andrew Dietzman is licensed to practice in New York (license number 335990) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255561825.

Contact Information

Brett Andrew Dietzman, FNP
33-57 Harrison St,
Johnson City, NY 13790-2107
(607) 763-6412
(607) 763-5854

Map and Direction




Provider's Profile

Full NameBrett Andrew Dietzman
GenderMale
SpecialityNurse Practitioner - Family
Location33-57 Harrison St, Johnson City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255561825
  • Provider Enumeration Date: 07/17/2009
  • Last Update Date: 11/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0648314732
  • Enrollment ID: I20100212000141

Medical Identifiers

Medical identifiers for Brett Andrew Dietzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255561825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 335990 (New York)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. Brett Andrew Dietzman allows following entities to bill medicare on his behalf.
Entity NameUnited Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013972801
PECOS PAC ID: 0345144978
Enrollment ID: O20031125000020
Entity NameOur Lady Of Lourdes Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629087580
PECOS PAC ID: 1254237779
Enrollment ID: O20031208000366
Entity NameSouthern Tier Medical Care - Ny Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134646276
PECOS PAC ID: 4981953106
Enrollment ID: O20180822000720

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. Brett Andrew Dietzman 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
Brett Andrew Dietzman, FNP
346 Grand Ave,
Johnson City, NY 13790-2580

Ph: (607) 729-8156		Brett Andrew Dietzman, FNP
33-57 Harrison St,
Johnson City, NY 13790-2107

Ph: (607) 763-6412

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, NY

Jennifer Anne Shattuck, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 260 Riverside Dr, Johnson City, NY 13790
Phone: 607-798-7811    
Ashley N Hammond, MS, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5064
Rachel Marie Skovira, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790
Phone: 607-763-6580    Fax: 607-763-6782
Victoria Elizabeth Mcmanus, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 365 Harry L Dr Ste 110, Johnson City, NY 13790
Phone: 607-729-5805    Fax: 607-729-7714
Kaylyn Malenda, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5064
Alissa Giammarino, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 46 Harrison St, Johnson City, NY 13790
Phone: 607-729-4942    Fax: 607-729-7516
Mrs. Linda Lafontaine Peterson, PRIMARY CARE NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 286 Dego Hill Road, United Methodist Homes Hilltop Campus, Johnson City, NY 13790
Phone: 607-798-7818    Fax: 607-798-9382

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.