David Alan Deitz, PT, DPT, OCS is a medicare enrolled "Physical Therapist" provider in Surf City, North Carolina. He went to Temple University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Providence Physical Therapy, Llc and his current practice location is
107 Triton Ln, Surf City, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 803-2040.
David Alan Deitz is licensed to practice in North Carolina (license number PT14321) 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 1508859034.
Healthcare Provider's Profile
| Full Name | David Alan Deitz |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 15 Years |
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| Location | 107 Triton Ln, Surf City, North Carolina |
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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. |
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Medical Education and Training:
- David Alan Deitz attended and graduated from Temple University School Of Medicine in 2009
NPI Data:
- NPI Number: 1508859034
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 01/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173616216
- Enrollment ID: I20131014000027
Medical Identifiers
Medical identifiers for David Alan Deitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508859034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT14321 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Physical Therapy, Llc | 8426313925 | 3 |
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. David Alan Deitz allows following entities to bill medicare on his behalf.
| Provider Name | Providence Physical Therapy, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1326564287
PECOS PAC ID: 8426313925
Enrollment ID: O20180605000293 |
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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. David Alan Deitz 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 |
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David Alan Deitz, PT, DPT, OCS
271 Hickory Point Rd,
Hampstead, NC 28443
Ph: (724) 288-1639 | David Alan Deitz, PT, DPT, OCS
107 Triton Ln,
Surf City, NC 28445-6923
Ph: (910) 803-2040 |
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