Kristian Clymer Dietz, DDS in Joplin, MO - Medicare Dentist Provider

Kristian Clymer Dietz, DDS is a medicare enrolled "Dentist" provider in Joplin, Missouri. His current practice location is 530 S Maiden Ln, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 782-0080.

Kristian Clymer Dietz is licensed to practice in Missouri (license number 2009014596) 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 1154550382.

Contact Information

	Kristian Clymer Dietz, DDS
	530 S Maiden Ln, Joplin, MO 64801-3084
	(417) 782-0080
	(417) 782-0096

Map and Direction

Healthcare Provider's Profile

Full Name	Kristian Clymer Dietz
Gender	Male
Speciality	Dentist
Location	530 S Maiden Ln, Joplin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154550382
Provider Enumeration Date: 07/09/2009
Last Update Date: 03/06/2012

Medicare PECOS Information:

PECOS PAC ID: 5698143311
Enrollment ID: I20231116002166

Medical Identifiers

Medical identifiers for Kristian Clymer Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154550382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2009014596 (Missouri)	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. Kristian Clymer Dietz allows following entities to bill medicare on his behalf.

Entity Name	Ozark Snoring And Sleep Apnea Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538892930 PECOS PAC ID: 7113397035 Enrollment ID: O20231116001549

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. Kristian Clymer Dietz 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
Kristian Clymer Dietz, DDS 4301 Doniphan Dr, Neosho, MO 64850-9120 Ph: (417) 451-9450	Kristian Clymer Dietz, DDS 530 S Maiden Ln, Joplin, MO 64801-3084 Ph: (417) 782-0080

Reviews and Comments

Dentist in Joplin, MO

Jonathan Jacoby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1411 S Range Line Rd, Joplin, MO 64801 Phone: 417-553-7377 Fax: 417-553-7293
Dr. James A Dryden, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 620 W 32nd St, Suite A, Joplin, MO 64804 Phone: 417-621-0500 Fax: 417-781-5809
Ricardo Lemus, Dentist Medicare: Medicare Enrolled Practice Location: 431 S Northpark Ln, Joplin, MO 64801 Phone: 713-703-3296
Dr. Grant Kirk, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4402 E 32nd St Ste B, Joplin, MO 64804 Phone: 417-781-2900
Dr. Michael Edwin Fitterling, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2614 S Mc Coy Ave, Joplin, MO 64804 Phone: 417-781-2900 Fax: 417-781-5178
Dr. Cristina Hernandez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 530 S Maiden Ln, Joplin, MO 64801 Phone: 417-782-0080
Dr. William D Sweeney, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3010 Connecticut Ave, Joplin, MO 64804 Phone: 417-623-8444

Kristian Clymer Dietz, DDS - Medicare Dentist in Joplin, MO