Diane L Dejong, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Sully, Iowa. Her current practice location is
704 3rd St, Sully, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 594-3150.
Diane L Dejong is licensed to practice in Iowa (license number 001494) 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 1124008354.
Provider's Profile
Full Name | Diane L Dejong |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 704 3rd St, Sully, Iowa |
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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: 1124008354
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668371204
- Enrollment ID: I20040102000697
Medical Identifiers
Medical identifiers for Diane L Dejong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124008354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 001494 (Iowa) | Secondary |
363A00000X | Physician Assistant | 001494 (Iowa) | 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. Diane L Dejong 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 |
Diane L Dejong, PHYSICIAN ASSISTANT 704 3rd St, Sully, IA 50251-1016 Ph: (641) 594-3150 | Diane L Dejong, PHYSICIAN ASSISTANT 704 3rd St, Sully, IA 50251-1016 Ph: (641) 594-3150 |
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