Dr Gary Lee Dietterick, OD in Easton, PA - Medicare Optometrist Provider

Dr Gary Lee Dietterick, OD is a medicare enrolled "Optometrist" provider in Easton, Pennsylvania. His current practice location is 21 Corporate Dr, Ste.#2, Easton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 258-2442.

Dr Gary Lee Dietterick is licensed to practice in Pennsylvania (license number OEG000606) 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 1407836851.

Contact Information

	Dr Gary Lee Dietterick, OD
	21 Corporate Dr, Ste.#2, Easton, PA 18045-2664
	(610) 258-2442
	(610) 258-7965

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gary Lee Dietterick
Gender	Male
Speciality	Optometrist
Location	21 Corporate Dr, Easton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407836851
Provider Enumeration Date: 01/20/2006
Last Update Date: 09/23/2008

Medicare PECOS Information:

PECOS PAC ID: 6305800251
Enrollment ID: I20050323000578

Medical Identifiers

Medical identifiers for Dr Gary Lee Dietterick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407836851	NPI	-	NPPES
3803518	Other	PA	AETNA#
P00227588	Other	PA	PALMETTO GBA RR MEDICARE
01776201	Other	PA	CAPITAL BC
624066	Other	PA	BLUE SHIELD
180026868	Other	PA	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG000606 (Pennsylvania)	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. Dr Gary Lee Dietterick allows following entities to bill medicare on his behalf.

Provider Name	Ja Vision Enterprises
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336743632 PECOS PAC ID: 3678986445 Enrollment ID: O20210115001688

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 Gary Lee Dietterick 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 Gary Lee Dietterick, OD 21 Corporate Dr, Ste.#2, Easton, PA 18045-2664 Ph: (610) 258-2442	Dr Gary Lee Dietterick, OD 21 Corporate Dr, Ste.#2, Easton, PA 18045-2664 Ph: (610) 258-2442

Reviews and Comments

Optometrist in Easton, PA

David S Altenderfer Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 147 Palmer Park Mall, Easton, PA 18045 Phone: 610-258-4372 Fax: 610-258-5878
Dr. Anthony John Callan, M.S., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 65 North Third St, Easton, PA 18042 Phone: 610-253-6911 Fax: 610-253-8945
John P Boscia, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Sullivan Trl, Easton, PA 18040 Phone: 610-258-6666 Fax: 610-515-1679
Katherine D Loch, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 Upper Way Rd, Easton, PA 18045 Phone: 610-330-0350
Palmer Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2925 William Penn Hwy, Suite 306, Easton, PA 18045 Phone: 610-253-0750
Dr. Patrick Joseph Corpora, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2020 Sullivan Trl, Easton, PA 18040 Phone: 610-258-6666
Alpha Optical Bethlehem, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4753 Freemansburg Ave, Easton, PA 18045 Phone: 610-866-1000

Dr Gary Lee Dietterick, OD - Medicare Optometrist in Easton, PA