Jon F Dietlein Md Pa is a medicare enrolled "Ophthalmology" provider in Georgetown, Texas. Their current practice location is
311 River Bend Dr, Georgetown, Texas. You can reach out to their office (for appointments etc.) via phone at
(512) 931-2255.
Jon F Dietlein Md Pa is licensed to practice in Texas (license number H0298) and it also participates in the medicare program. Jon F Dietlein Md Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1285797621.
Healthcare Provider's Profile
| Full Name | Jon F Dietlein Md Pa |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 311 River Bend Dr, Georgetown, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285797621
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 04/17/2009
Medicare PECOS Information:
- PECOS PAC ID: 4486676491
- Enrollment ID: O20051219000709
Medical Identifiers
Medical identifiers for Jon F Dietlein Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285797621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 04076T (Texas) | Secondary |
| 207W00000X | Ophthalmology | H0298 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jon F Dietlein Md Pa acts as a billing entity for following providers:
| Provider Name | Jon F Dietlein |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1811901887
PECOS PAC ID: 6507893658
Enrollment ID: I20050720001045 |
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| Provider Name | Pamela A Evans |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1316951056
PECOS PAC ID: 1153349477
Enrollment ID: I20051104000721 |
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| Provider Name | Cynthia I Wasser |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1558467407
PECOS PAC ID: 3971512088
Enrollment ID: I20060418000749 |
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| Provider Name | Thad A Labbe |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1346284866
PECOS PAC ID: 5496752529
Enrollment ID: I20071204000434 |
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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. Jon F Dietlein Md Pa 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 |
|---|
Jon F Dietlein Md Pa
311 River Bend Dr,
Georgetown, TX 78628-2782
Ph: (512) 931-2255 | Jon F Dietlein Md Pa
311 River Bend Dr,
Georgetown, TX 78628-2782
Ph: (512) 931-2255 |
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