Mr Charles David Dietzen, MD - General Practice in Chattanooga, TN

Mr Charles David Dietzen, MD is a General Practice physician based in Chattanooga, Tennessee. Mr Charles David Dietzen is licensed to practice in Tennessee (license number 009627) and his current practice location is 4355 Highway 58, Suite 101, Chattanooga, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 892-4289.

NPI number for Mr Charles David Dietzen is 1417964248 and his current mailing address is 2621 Crestwood Dr, Chattanooga, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417964248.

Contact Information

Mr Charles David Dietzen, MD
4355 Highway 58, Suite 101,
Chattanooga, TN 37416-2939
(423) 892-4289
(423) 892-8301

Map and Direction




Physician's Profile

Full NameMr Charles David Dietzen
GenderMale
SpecialityGeneral Practice
Location4355 Highway 58, Chattanooga, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417964248
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Charles David Dietzen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417964248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 009627 (Tennessee)Primary
208D00000XGeneral Practice 051638 (Georgia)Secondary

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. Mr Charles David Dietzen 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 AddressPractice Location Address
Mr Charles David Dietzen, MD
2621 Crestwood Dr,
Chattanooga, TN 37415-6321

Ph: (423) 266-3500
Mr Charles David Dietzen, MD
4355 Highway 58, Suite 101,
Chattanooga, TN 37416-2939

Ph: (423) 892-4289

Reviews and Comments


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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.