Mark B Dietrich, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mc Donald, Tennessee. His current practice location is
384 Roark Ln, Mc Donald, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 503-6343.
Mark B Dietrich is licensed to practice in Tennessee (license number APN12260) 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 1427127190.
Provider's Profile
| Full Name | Mark B Dietrich |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 384 Roark Ln, Mc Donald, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark B Dietrich attended and graduated from in
NPI Data:
- NPI Number: 1427127190
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 01/24/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark B Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427127190 | NPI | - | NPPES |
| 104592 | Medicaid | AL | |
| P00744539 | Other | TN | RAILROAD MEDICARE |
| 1509502 | Medicaid | TN | |
| N457415 | Other | GA | WELLCARE (GA MEDICAID) |
| 002470891B | Medicaid | GA | |
| 4185343 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 8053520 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN12260 (Tennessee) | 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. Mark B Dietrich 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 |
|---|
Mark B Dietrich, CRNA
384 Roark Ln,
Mc Donald, TN 37353-5238
Ph: (423) 503-6343 | Mark B Dietrich, CRNA
384 Roark Ln,
Mc Donald, TN 37353-5238
Ph: (423) 503-6343 |
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