Mr Gordon Dietz, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springville, NY

  1. Home
  2. Nurse Anesthetist - CR
  3. NY
  4. Springville
Mr Gordon Dietz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springville, New York. His current practice location is 224 E Main St, Bertrand Chaffee Hospital, Springville, New York. You can reach out to his office (for appointments etc.) via phone at (716) 592-2871.

Mr Gordon Dietz is licensed to practice in Maryland (license number R103713) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790730299.

Contact Information

Mr Gordon Dietz, CRNA
224 E Main St, Bertrand Chaffee Hospital,
Springville, NY 14141-1443
(716) 592-2871
(716) 794-0025

Map and Direction




Provider's Profile

Full NameMr Gordon Dietz
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location224 E Main St, Springville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790730299
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 09/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6103827332
  • Enrollment ID: I20130326000091

Medical Identifiers

Medical identifiers for Mr Gordon Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790730299NPI-NPPES
007496140 0004MedicaidPA
050514OtherPAGROUP MEDICARE #
RN326868LOtherPARN LICENSE PA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R103713 (Maryland)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. Mr Gordon Dietz allows following entities to bill medicare on his behalf.
Entity NameFrederick Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639283757
PECOS PAC ID: 0446200307
Enrollment ID: O20060810000466
Entity NameAmsurg Westminster Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720326226
PECOS PAC ID: 5092954453
Enrollment ID: O20130614000212
Entity NameMid-maryland Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669866489
PECOS PAC ID: 5890014542
Enrollment ID: O20150501000734

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. Mr Gordon Dietz 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 AddressPractice Location Address
Mr Gordon Dietz, CRNA
224 E Main St, Bertrand Chaffee Hospital,
Springville, NY 14141-1443

Ph: (716) 592-2871		Mr Gordon Dietz, CRNA
224 E Main St, Bertrand Chaffee Hospital,
Springville, NY 14141-1443

Ph: (716) 592-2871

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Springville, NY

Lori Ann Baker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Bertrand Chaffee Hospital, 224 East Main Street, Springville, NY 14141
Phone: 716-592-2871    Fax: 716-794-0025

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.