Grant Michael Dietz, is a
Student In An Organized Health Care Education/training Program based in Tulsa, Oklahoma. Grant Michael Dietz is licensed to practice in * (Not Available) (license number ) and his current practice location is
2435 E 7th St, Tulsa, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(281) 300-4308.
NPI number for Grant Michael Dietz is 1538943618 and his current mailing address is 2435 E 7th St, Tulsa, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538943618.
Provider's Profile
| Full Name | Grant Michael Dietz |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2435 E 7th St, Tulsa, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538943618
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Grant Michael Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538943618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Grant Michael Dietz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grant Michael Dietz,
2435 E 7th St,
Tulsa, OK 74104-3305
Ph: (281) 300-4308 | Grant Michael Dietz,
2435 E 7th St,
Tulsa, OK 74104-3305
Ph: (281) 300-4308 |
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