Tracy Marie Dietz, FNP - Medicare Nurse Practitioner in Alton, IL

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Tracy Marie Dietz, FNP is a medicare enrolled "Nurse Practitioner - Family" in Alton, Illinois. Her current practice location is 3523 Wickenhauser Ave, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 465-8887.

Tracy Marie Dietz is licensed to practice in Illinois (license number 209.011378) 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 1477941938.

Contact Information

Tracy Marie Dietz, FNP
3523 Wickenhauser Ave,
Alton, IL 62002
(618) 465-8887
Not Available

Map and Direction




Provider's Profile

Full NameTracy Marie Dietz
GenderFemale
SpecialityNurse Practitioner - Family
Location3523 Wickenhauser Ave, Alton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477941938
  • Provider Enumeration Date: 01/06/2015
  • Last Update Date: 09/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3476878562
  • Enrollment ID: I20150212000987

Medical Identifiers

Medical identifiers for Tracy Marie Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477941938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.011378 (Illinois)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. Tracy Marie Dietz allows following entities to bill medicare on her behalf.
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20170824001273
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451

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. Tracy Marie 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
Tracy Marie Dietz, FNP
21333 Haggerty Rd,
Novi, MI 48375-5510

Ph: (248) 662-0250		Tracy Marie Dietz, FNP
3523 Wickenhauser Ave,
Alton, IL 62002

Ph: (618) 465-8887

Reviews and Comments


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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.