Nicholas W Dietrich, DPT in Washington, MO - Medicare Physical Therapy Provider

Nicholas W Dietrich, DPT is a medicare enrolled "Physical Therapist" provider in Washington, Missouri. He graduated from medical school in 2019 and has 5 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 3101 Recreation Dr Ste 130, Washington, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 239-9979.

Nicholas W Dietrich is licensed to practice in Missouri (license number 2020004360) 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 1275179889.

Contact Information

	Nicholas W Dietrich, DPT
	3101 Recreation Dr Ste 130, Washington, MO 63090-6107
	(636) 239-9979
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas W Dietrich
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	3101 Recreation Dr Ste 130, Washington, Missouri
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:

Nicholas W Dietrich graduated from medical school in 2019

NPI Data:

NPI Number: 1275179889
Provider Enumeration Date: 11/19/2019
Last Update Date: 02/10/2020

Medicare PECOS Information:

PECOS PAC ID: 5193151264
Enrollment ID: I20200208000190

Medical Identifiers

Medical identifiers for Nicholas W Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275179889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2020004360 (Missouri)	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. Nicholas W Dietrich allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357

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. Nicholas W Dietrich 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
Nicholas W Dietrich, DPT 600 Oakmont Ln, Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980	Nicholas W Dietrich, DPT 3101 Recreation Dr Ste 130, Washington, MO 63090-6107 Ph: (636) 239-9979

Reviews and Comments

Physical Therapist in Washington, MO

Mrs. Cynthia Grace Lohrer, PT/CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Patients First Dr, Suite 2600, Washington, MO 63090 Phone: 636-390-1700 Fax: 636-390-1701
Adam Austermann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2018 Phoenix Center Dr, Washington, MO 63090 Phone: 636-283-2185
Susan Peters Vincent, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8811
Washington Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Patients First Dr, Suite 1800, Washington, MO 63090 Phone: 636-390-1700 Fax: 636-390-1701
Laci J Wurm, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 Recreation Dr, Ste 130, Washington, MO 63090 Phone: 636-239-9979 Fax: 636-239-5442
Emily A Helton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3101 Recreation Dr, Suite 130, Washington, MO 63090 Phone: 636-239-9979 Fax: 636-239-5442

Nicholas W Dietrich, DPT - Medicare Physical Therapist in Washington, MO