Mr Jeffrey Michael Ditter, NP in Lake St Louis, MO

Mr Jeffrey Michael Ditter, NP is a medicare enrolled "Nurse Practitioner" in Lake St Louis, Missouri. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sioux City Hospitalist Group, Llc and his current practice location is 100 Medical Plz, Lake St Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 625-5200.

Mr Jeffrey Michael Ditter is licensed to practice in Missouri (license number 2017004715) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508307190.

Contact Information

	Mr Jeffrey Michael Ditter, NP
	100 Medical Plz, Lake St Louis, MO 63367-1366
	(636) 625-5200
	(636) 625-5314

Map and Direction

Provider's Profile

Full Name	Mr Jeffrey Michael Ditter
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	100 Medical Plz, Lake St Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeffrey Michael Ditter graduated from nursing school in 2016

NPI Data:

NPI Number: 1508307190
Provider Enumeration Date: 03/15/2017
Last Update Date: 01/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8123305067
Enrollment ID: I20210114001901

Medical Identifiers

Medical identifiers for Mr Jeffrey Michael Ditter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508307190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	A155084 (Iowa)	Secondary
363L00000X	Nurse Practitioner	2017004715 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercyone Siouxland	Sioux city, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sioux City Hospitalist Group, Llc	3173906088	25

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. Mr Jeffrey Michael Ditter allows following entities to bill medicare on his behalf.

Entity Name	Woodbury Physician Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194388074 PECOS PAC ID: 8224362348 Enrollment ID: O20190624002701

Entity Name	Sioux City Hospitalist Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427789148 PECOS PAC ID: 3173906088 Enrollment ID: O20220810000609

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. Mr Jeffrey Michael Ditter 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
Mr Jeffrey Michael Ditter, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Mr Jeffrey Michael Ditter, NP 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 625-5200

Reviews and Comments

Nurse Practitioner Nurses in Lake St Louis, MO

Victoria Lynn Hines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 Fax: 636-625-5314
Akiko Okabe, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 314-317-0600 Fax: 314-317-0606
Molly Lombardo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 221, Lake St Louis, MO 63367 Phone: 636-625-6041
Katie D Schmidt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662
Yunhee Choi Cruse, CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200
Michelle Louise Wallweber, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Meadows Circle Dr Ste 324, Lake St Louis, MO 63367 Phone: 636-389-2488
Katherine Elizabeth Benenati, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-625-1644

Mr Jeffrey Michael Ditter, NP - Medicare Nurse Practitioner in Lake St Louis, MO