Deborah Lee Dieterle, NP is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Bath, New York. Her current practice location is
76 Veterans Ave, Bath, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 664-4534.
Deborah Lee Dieterle is licensed to practice in New York (license number F3033641-1) 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 1639125784.
Provider's Profile
Full Name | Deborah Lee Dieterle |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 76 Veterans Ave, Bath, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639125784
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 07/16/2007
Medicare PECOS Information:
- PECOS PAC ID: 1658516331
- Enrollment ID: I20130329000055
Medical Identifiers
Medical identifiers for Deborah Lee Dieterle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639125784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | F340351-1 (New York) | Secondary |
364SA2200X | Clinical Nurse Specialist - Adult Health | F3033641-1 (New York) | Primary |
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. Deborah Lee Dieterle 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 |
Deborah Lee Dieterle, NP 76 Veterans Ave, Bath, NY 14810-0810 Ph: (607) 664-4534 | Deborah Lee Dieterle, NP 76 Veterans Ave, Bath, NY 14810-0810 Ph: (607) 664-4534 |
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