Ian Joel Diehl, PA-C is a medicare enrolled "Physician Assistant" provider in Stroudsburg, Pennsylvania. His current practice location is
1581 N 9th St, Stroudsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(272) 212-0620.
Ian Joel Diehl is licensed to practice in Pennsylvania (license number MA063965) 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 1821634585.
Healthcare Provider's Profile
Full Name | Ian Joel Diehl |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1581 N 9th St, Stroudsburg, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821634585
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446629257
- Enrollment ID: I20221216000692
Medical Identifiers
Medical identifiers for Ian Joel Diehl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821634585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT027578 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | MA063965 (Pennsylvania) | 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. Ian Joel Diehl 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 |
Ian Joel Diehl, PA-C 1581 N 9th St, Stroudsburg, PA 18360-7531 Ph: (272) 212-0620 | Ian Joel Diehl, PA-C 1581 N 9th St, Stroudsburg, PA 18360-7531 Ph: (272) 212-0620 |
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