Dr Brian Vincent Dieckmann, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Cedar Lake, Indiana. His current practice location is
13650 Highland St, Cedar Lake, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 677-2462.
Dr Brian Vincent Dieckmann is licensed to practice in Indiana (license number 20042237A) 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 1598906216.
Healthcare Provider's Profile
Full Name | Dr Brian Vincent Dieckmann |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 13650 Highland St, Cedar Lake, Indiana |
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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: 1598906216
- Provider Enumeration Date: 03/09/2009
- Last Update Date: 03/09/2009
Medicare PECOS Information:
- PECOS PAC ID: 1254516974
- Enrollment ID: I20110422000439
Medical Identifiers
Medical identifiers for Dr Brian Vincent Dieckmann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598906216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 20042237A (Indiana) | Primary |
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. Dr Brian Vincent Dieckmann allows following entities to bill medicare on his behalf.
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20040513000199 |
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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. Dr Brian Vincent Dieckmann 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 |
Dr Brian Vincent Dieckmann, PSYD 13650 Highland St, Cedar Lake, IN 46303-9800 Ph: (219) 677-2462 | Dr Brian Vincent Dieckmann, PSYD 13650 Highland St, Cedar Lake, IN 46303-9800 Ph: (219) 677-2462 |
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