Michele Dawn Dierkes, is a
Specialist/technologist - Athletic Trainer based in Westlake, Ohio. Michele Dawn Dierkes is licensed to practice in Ohio (license number AT-002016) and her current practice location is
1300 Bobby Ln Apt 108, Westlake, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 692-1098.
NPI number for Michele Dawn Dierkes is 1114136876 and her current mailing address is 1300 Bobby Ln Apt 108, Westlake, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114136876.
Healthcare Provider's Profile
Full Name | Michele Dawn Dierkes |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 1300 Bobby Ln Apt 108, Westlake, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114136876
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michele Dawn Dierkes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114136876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT-0010733 (Ohio) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT-002016 (Ohio) | 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. Michele Dawn Dierkes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michele Dawn Dierkes, 1300 Bobby Ln Apt 108, Westlake, OH 44145-6911 Ph: () - | Michele Dawn Dierkes, 1300 Bobby Ln Apt 108, Westlake, OH 44145-6911 Ph: (330) 692-1098 |
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