Jacob Michael Diedrich, OD in Sioux City, IA - Medicare Optometry Provider

Jacob Michael Diedrich, OD is a medicare enrolled "Optometrist" provider in Sioux City, Iowa. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Howlin Vision Clinic Pc and his current practice location is 5001 Sergeant Rd Ste 45, Sioux City, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 224-4600.

Jacob Michael Diedrich is licensed to practice in South Dakota (license number 758) 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 1407415599.

Contact Information

	Jacob Michael Diedrich, OD
	5001 Sergeant Rd Ste 45, Sioux City, IA 51106-4777
	(712) 224-4600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Michael Diedrich
Gender	Male
Speciality	Optometry
Experience	5 Years
Location	5001 Sergeant Rd Ste 45, Sioux City, Iowa
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:

Jacob Michael Diedrich graduated from medical school in 2019

NPI Data:

NPI Number: 1407415599
Provider Enumeration Date: 06/11/2019
Last Update Date: 02/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9436484458
Enrollment ID: I20210305001744

Medical Identifiers

Medical identifiers for Jacob Michael Diedrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407415599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	758 (South Dakota)	Primary
152W00000X	Optometrist	096566 (Iowa)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Howlin Vision Clinic Pc	6901893783	6

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. Jacob Michael Diedrich allows following entities to bill medicare on his behalf.

Provider Name	Howlin Vision Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083777676 PECOS PAC ID: 6901893783 Enrollment ID: O20040426001498

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. Jacob Michael Diedrich 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
Jacob Michael Diedrich, OD 7507 S Beal Ave Apt 13, Sioux Falls, SD 57108-4918 Ph: () -	Jacob Michael Diedrich, OD 5001 Sergeant Rd Ste 45, Sioux City, IA 51106-4777 Ph: (712) 224-4600

Reviews and Comments

Optometrist in Sioux City, IA

Vision Care Clinic, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1909 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-252-4333
Hedquist Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 523 4th St, Sioux City, IA 51101 Phone: 712-224-3937 Fax: 712-224-3939
Dr. Christopher A Hedquist, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 523 4th St, Sioux City, IA 51101 Phone: 712-224-3937
Dr. Lorayne Caroline Middendorp, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2513 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-252-0933
Christopher S Diehl, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4405 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-239-3937
Angela Marie Spartz-kolbo, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4600 Singing Hills Blvd, Sioux City, IA 51106 Phone: 712-271-4600
Korver Eye Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Hills Dr, Sioux City, IA 51106 Phone: 712-276-2323 Fax: 712-274-9986

Jacob Michael Diedrich, OD - Medicare Optometrist in Sioux City, IA