Susan Patricia Dierkes, PA-C is a medicare enrolled "Physician Assistant" in Dresden, Tennessee. Her current practice location is
811 Morrow St, Suite 208, Dresden, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 364-3353.
Susan Patricia Dierkes is licensed to practice in Tennessee (license number 1493) 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 1972708402.
Provider's Profile
Full Name | Susan Patricia Dierkes |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 811 Morrow St, Dresden, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972708402
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 10/09/2008
Medicare PECOS Information:
- PECOS PAC ID: 2769576289
- Enrollment ID: I20070914000334
Medical Identifiers
Medical identifiers for Susan Patricia Dierkes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972708402 | NPI | - | NPPES |
36651031 | Medicaid | TN | |
4180537 | Other | TN | BCBS |
43637 | Other | TN | TLC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1493 (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. Susan Patricia Dierkes 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 |
Susan Patricia Dierkes, PA-C 811 Morrow St, Suite 208, Dresden, TN 38225-1846 Ph: (731) 364-3353 | Susan Patricia Dierkes, PA-C 811 Morrow St, Suite 208, Dresden, TN 38225-1846 Ph: (731) 364-3353 |
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