Patricia Dierking, is a
Speech-language Pathologist based in Grand Pass, Missouri. Patricia Dierking is licensed to practice in Missouri (license number 01830) and her current practice location is
2003 1st St, Grand Pass, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 202-7515.
NPI number for Patricia Dierking is 1497036982 and her current mailing address is 2003 1st St, Grand Pass, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497036982.
Healthcare Provider's Profile
Full Name | Patricia Dierking |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2003 1st St, Grand Pass, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497036982
- Provider Enumeration Date: 08/29/2011
- Last Update Date: 08/29/2011
Medical Identifiers
Medical identifiers for Patricia Dierking such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497036982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 01830 (Missouri) | 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. Patricia Dierking 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 |
Patricia Dierking, 2003 1st St, Grand Pass, MO 65339-1200 Ph: () - | Patricia Dierking, 2003 1st St, Grand Pass, MO 65339-1200 Ph: (660) 202-7515 |
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