Marque R Dietzler, PA in Loma Linda, CA - Medicare Physician Assistant

Marque R Dietzler, PA is a medicare enrolled "Physician Assistant" in Loma Linda, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Larry C Hughes Md Inc A Medical Corporation, La Laser Center Pc A Professional Medical Corporation and her current practice location is 11234 Anderson St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4444.

Marque R Dietzler is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073968459.

Contact Information

	Marque R Dietzler, PA
	11234 Anderson St, Loma Linda, CA 92354-2804
	(909) 558-4444
	Not Available

Map and Direction

Provider's Profile

Full Name	Marque R Dietzler
Gender	Female
Speciality	Physician Assistant
Experience	8 Years
Location	11234 Anderson St, Loma Linda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marque R Dietzler graduated from nursing school in 2016

NPI Data:

NPI Number: 1073968459
Provider Enumeration Date: 05/04/2016
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 1254612609
Enrollment ID: I20161227001407

Medical Identifiers

Medical identifiers for Marque R Dietzler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073968459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Larry C Hughes Md Inc A Medical Corporation	8426372988	6
La Laser Center Pc A Professional Medical Corporation	9537181185	66

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. Marque R Dietzler 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
Marque R Dietzler, PA 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (951) 746-6126	Marque R Dietzler, PA 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4444

Reviews and Comments

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Marque R Dietzler, PA - Medicare Physician Assistant in Loma Linda, CA