Dr Benjamin David Dietrich, OD is a medicare enrolled "Optometrist" provider in Harrisville, Michigan. His current practice location is
300 N State St, Harrisville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 724-7440.
Dr Benjamin David Dietrich is licensed to practice in Michigan (license number 4901004764) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073952297.
Healthcare Provider's Profile
Full Name | Dr Benjamin David Dietrich |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 300 N State St, Harrisville, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Benjamin David Dietrich attended and graduated from in
NPI Data:
- NPI Number: 1073952297
- Provider Enumeration Date: 06/20/2013
- Last Update Date: 07/14/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Benjamin David Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073952297 | NPI | - | NPPES |
0Z10008 | Other | MI | BLUE CROSS BLUE SHIELD PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901004764 (Michigan) | 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. Dr Benjamin David Dietrich 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 |
Dr Benjamin David Dietrich, OD 300 N State St, Harrisville, MI 48740-9693 Ph: (989) 724-7440 | Dr Benjamin David Dietrich, OD 300 N State St, Harrisville, MI 48740-9693 Ph: (989) 724-7440 |
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