Elizabeth Dieckman, in Philadelphia, PA - Medicare Nurse Practitioner

Elizabeth Dieckman, is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 260 S Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 985-2500.

Elizabeth Dieckman is licensed to practice in Pennsylvania (license number SP008971) 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 1699947366.

Contact Information

	Elizabeth Dieckman,
	260 S Broad St, Philadelphia, PA 19102-5021
	(215) 985-2500
	(267) 765-2325

Map and Direction

Provider's Profile

Full Name	Elizabeth Dieckman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	260 S Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699947366
Provider Enumeration Date: 04/02/2008
Last Update Date: 11/21/2013

Medicare PECOS Information:

PECOS PAC ID: 0042275331
Enrollment ID: I20041129000490

Medical Identifiers

Medical identifiers for Elizabeth Dieckman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699947366	NPI	-	NPPES
1022188860001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP008971 (Pennsylvania)	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. Elizabeth Dieckman allows following entities to bill medicare on her behalf.

Entity Name	Schc Pediatric Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255363578 PECOS PAC ID: 0648179432 Enrollment ID: O20040226000401

Entity Name	Stc Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254

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. Elizabeth Dieckman 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
Elizabeth Dieckman, 5675 N Front St, Philadelphia, PA 19120-2719 Ph: (215) 279-9666	Elizabeth Dieckman, 260 S Broad St, Philadelphia, PA 19102-5021 Ph: (215) 985-2500

Reviews and Comments

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Elizabeth Dieckman, - Medicare Nurse Practitioner in Philadelphia, PA