Lane David Dieckow, in Peoria, IL - Medicare Physical Therapy Provider

Lane David Dieckow, is a medicare enrolled "Physical Therapist" provider in Peoria, Illinois. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletico Ltd and his current practice location is 3714 N Prospect Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 550-7888.

Lane David Dieckow is licensed to practice in Illinois (license number 070016884) 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 1467690073.

Contact Information

	Lane David Dieckow,
	3714 N Prospect Rd, Peoria, IL 61614-7743
	(309) 550-7888
	(309) 550-7848

Map and Direction

Healthcare Provider's Profile

Full Name	Lane David Dieckow
Gender	Male
Speciality	Physical Therapy
Experience	16 Years
Location	3714 N Prospect Rd, Peoria, Illinois
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:

Lane David Dieckow graduated from medical school in 2008

NPI Data:

NPI Number: 1467690073
Provider Enumeration Date: 02/04/2009
Last Update Date: 06/28/2017

Medicare PECOS Information:

PECOS PAC ID: 4183781248
Enrollment ID: I20090318000086

Medical Identifiers

Medical identifiers for Lane David Dieckow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467690073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070016884 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	1963

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. Lane David Dieckow allows following entities to bill medicare on his behalf.

Provider Name	Accelerated Rehabilitation Centers Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342

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. Lane David Dieckow 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
Lane David Dieckow, 625 Enterprise Dr, Oak Brook, IL 60523 Ph: (630) 575-1980	Lane David Dieckow, 3714 N Prospect Rd, Peoria, IL 61614-7743 Ph: (309) 550-7888

Reviews and Comments

Physical Therapist in Peoria, IL

Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946
Payton Hufnagel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-883-5070
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111
Molly D Lisenby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5009 N Executive Dr Ste B, Peoria, IL 61614 Phone: 309-839-8631 Fax: 855-579-3536
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110

Lane David Dieckow, - Medicare Physical Therapist in Peoria, IL