Mary Therese Dierich, GNP in Minneapolis, MN - Medicare Nurse Practitioner

Mary Therese Dierich, GNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Minneapolis, Minnesota. Her current practice location is 516 Delaware St Se, 3-150 Pwb, Clinic 3a, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 624-9499.

Mary Therese Dierich is licensed to practice in Minnesota (license number R 094653-3) 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 1346345717.

Contact Information

	Mary Therese Dierich, GNP
	516 Delaware St Se, 3-150 Pwb, Clinic 3a, Minneapolis, MN 55455-0356
	(612) 624-9499
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Therese Dierich
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	516 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346345717
Provider Enumeration Date: 09/13/2006
Last Update Date: 03/24/2009

Medicare PECOS Information:

PECOS PAC ID: 1153322193
Enrollment ID: I20070118000268

Medical Identifiers

Medical identifiers for Mary Therese Dierich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346345717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R 094653-3 (Minnesota)	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. Mary Therese Dierich allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Mary Therese Dierich 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
Mary Therese Dierich, GNP 420 Delaware St Se, Mmc 381, Minneapolis, MN 55455-0341 Ph: (612) 624-9499	Mary Therese Dierich, GNP 516 Delaware St Se, 3-150 Pwb, Clinic 3a, Minneapolis, MN 55455-0356 Ph: (612) 624-9499

Reviews and Comments

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Mary Therese Dierich, GNP - Medicare Nurse Practitioner in Minneapolis, MN