Kaitlin Christine Dietzman, is a
Registered Nurse - Medical-surgical based in Elk Mound, Wisconsin. Kaitlin Christine Dietzman is licensed to practice in Wisconsin (license number 232561) and her current practice location is
N5168 860th St, Elk Mound, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 434-7989.
NPI number for Kaitlin Christine Dietzman is 1114626025 and her current mailing address is N5168 860th St, Elk Mound, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114626025.
Provider's Profile
Full Name | Kaitlin Christine Dietzman |
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Gender | Female |
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Speciality | Registered Nurse - Medical-surgical |
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Location | N5168 860th St, Elk Mound, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114626025
- Provider Enumeration Date: 02/28/2023
- Last Update Date: 02/28/2023
Medical Identifiers
Medical identifiers for Kaitlin Christine Dietzman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114626025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0705X | Registered Nurse - Medical-surgical | 232561 (Wisconsin) | 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. Kaitlin Christine Dietzman 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 |
Kaitlin Christine Dietzman, N5168 860th St, Elk Mound, WI 54739-8200 Ph: (608) 434-7989 | Kaitlin Christine Dietzman, N5168 860th St, Elk Mound, WI 54739-8200 Ph: (608) 434-7989 |
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