Deanna Nicole Dietrich, PA-C - Medicare Physician Assistant in Fort Myers, FL

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Deanna Nicole Dietrich, PA-C is a medicare enrolled "Physician Assistant" physician in Fort Myers, Florida. Her current practice location is 2776 Cleveland Ave, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 343-1614.

Deanna Nicole Dietrich is licensed to practice in Florida (license number PA9116592) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891404232.

Contact Information

Deanna Nicole Dietrich, PA-C
2776 Cleveland Ave,
Fort Myers, FL 33901-5864
(239) 343-1614
(239) 343-3695

Map and Direction




Physician's Profile

Full NameDeanna Nicole Dietrich
GenderFemale
SpecialityPhysician Assistant
Location2776 Cleveland Ave, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891404232
  • Provider Enumeration Date: 11/15/2022
  • Last Update Date: 12/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062881261
  • Enrollment ID: I20231219001842

Medical Identifiers

Medical identifiers for Deanna Nicole Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891404232NPI-NPPES
116239300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine PA9116592 (Florida)Secondary
363A00000XPhysician Assistant PA9116592 (Florida)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. Deanna Nicole 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 AddressPractice Location Address
Deanna Nicole Dietrich, PA-C
Po Box 2147,
Fort Myers, FL 33902-2147

Ph: (239) 343-1614		Deanna Nicole Dietrich, PA-C
2776 Cleveland Ave,
Fort Myers, FL 33901-5864

Ph: (239) 343-1614

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.