Lexi Dietzenbach, in Waterloo, IA - Medicare Nurse Practitioner

Lexi Dietzenbach, is a medicare enrolled "Nurse Practitioner - Family" in Waterloo, Iowa. Her current practice location is 2710 Saint Francis Dr Ste 319, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 272-5000.

Lexi Dietzenbach is licensed to practice in Iowa (license number A164613) 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 1083350672.

Contact Information

	Lexi Dietzenbach,
	2710 Saint Francis Dr Ste 319, Waterloo, IA 50702-5620
	(319) 272-5000
	(319) 272-5788

Map and Direction

Provider's Profile

Full Name	Lexi Dietzenbach
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2710 Saint Francis Dr Ste 319, Waterloo, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083350672
Provider Enumeration Date: 05/07/2022
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1254717705
Enrollment ID: I20221006000885

Medical Identifiers

Medical identifiers for Lexi Dietzenbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083350672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A164613 (Iowa)	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. Lexi Dietzenbach allows following entities to bill medicare on her behalf.

Entity Name	Covenant Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534

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. Lexi Dietzenbach 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
Lexi Dietzenbach, 2710 Saint Francis Dr Ste 319, Waterloo, IA 50702-5620 Ph: (319) 272-5000	Lexi Dietzenbach, 2710 Saint Francis Dr Ste 319, Waterloo, IA 50702-5620 Ph: (319) 272-5000

Reviews and Comments

Nurse Practitioner Nurses in Waterloo, IA

Lisa Lynn Maher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 419 East Donald Street, Waterloo, IA 50703 Phone: 319-236-1911 Fax: 319-287-5832
Evans Komen, DNP,PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 Saint Francis Dr, Waterloo, IA 50702 Phone: 319-272-8922 Fax: 319-272-8929
Dianna Kay Magginetti, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-874-3000
Irmela Salihovic, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr Ste 320, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-8072
Ms. Amanda L. Vervaecke, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Wound & Ostomy Clinic, Waterloo, IA 50703 Phone: 319-235-3121 Fax: 319-226-2113
Mr. Dieter J Boxmann, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 W Dale St, Suite 101, Waterloo, IA 50703 Phone: 319-233-3351 Fax: 319-233-3132
Marcia A Rellihan, D.O. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Suite G4500, Waterloo, IA 50702 Phone: 319-233-8865 Fax: 319-272-0400

Lexi Dietzenbach, - Medicare Nurse Practitioner in Waterloo, IA