Diane Margaret Teadtke, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Niobrara, Nebraska. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Counseling Service and her current practice location is
52518 890 Rd, Niobrara, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 857-3350.
Diane Margaret Teadtke is licensed to practice in South Dakota (license number CP001711) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881233070.
Provider's Profile
| Full Name | Diane Margaret Teadtke |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 52518 890 Rd, Niobrara, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diane Margaret Teadtke graduated from nursing school in 2019
NPI Data:
- NPI Number: 1881233070
- Provider Enumeration Date: 01/05/2020
- Last Update Date: 01/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719317452
- Enrollment ID: I20200421003128
Medical Identifiers
Medical identifiers for Diane Margaret Teadtke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881233070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 113002 (Nebraska) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CP001711 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Counseling Service | 9133111875 | 9 |
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. Diane Margaret Teadtke allows following entities to bill medicare on her behalf.
| Entity Name | Community Counseling Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932167277
PECOS PAC ID: 9133111875
Enrollment ID: O20040401000727 |
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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 Margaret Teadtke 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 |
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Diane Margaret Teadtke, APRN, PMHNP-BC
52518 890 Rd,
Niobrara, NE 68760-7003
Ph: (402) 857-3350 | Diane Margaret Teadtke, APRN, PMHNP-BC
52518 890 Rd,
Niobrara, NE 68760-7003
Ph: (402) 857-3350 |
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