Mark B Dietrich, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mc Donald, Tennessee. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice American Anesthesiology Of Tennessee Pc, Anesthesiology Group Associates Pc, Metropolitan Anesthesia Network Llp and 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 |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 18 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 graduated from nursing school in 2006
NPI Data:
- NPI Number: 1427127190
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 01/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658372982
- Enrollment ID: I20070129000647
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| American Anesthesiology Of Tennessee Pc | 9931001922 | 370 |
| Anesthesiology Group Associates Pc | 0547233959 | 51 |
| Metropolitan Anesthesia Network Llp | 5698689123 | 632 |
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. Mark B Dietrich allows following entities to bill medicare on his behalf.
| Entity Name | Sweetwater Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629077532
PECOS PAC ID: 6608773775
Enrollment ID: O20040518001141 |
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| Entity Name | American Anesthesiology Of Tennessee Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364 |
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| Entity Name | Amsurg Chattanooga Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841586922
PECOS PAC ID: 8921278821
Enrollment ID: O20110901000522 |
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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 |
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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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