| Alan Merrill Dietzek, MD | |
|
19 Davis Ave Fl 4, Neptune, NJ 07753-4488 | |
| (732) 212-6598 | |
| (732) 922-2026 |
| Full Name | Alan Merrill Dietzek |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 42 Years |
| Location | 19 Davis Ave Fl 4, Neptune, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134160435 | NPI | - | NPPES |
| 0V7532 | Other | CT | HEALTH NET |
| 830396 | Other | CT | UNITED HEALTHCARE |
| AS1058 | Other | CT | OXFORD |
| P00230453 | Other | CT | RAILROAD MEDICARE |
| 810160110 | Other | CT | PHCS |
| 8897122 | Other | CT | CIGNA |
| 2372975 | Other | CT | AETNA US HEALTHCARE |
| 1388455 | Medicaid | CT | |
| 038845 | Other | CT | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 038845 (Connecticut) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 25MA09413600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Shore University Medical Center | Neptune, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1587 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Merrill Dietzek, MD 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792 Ph: (732) 807-0877 | Alan Merrill Dietzek, MD 19 Davis Ave Fl 4, Neptune, NJ 07753-4488 Ph: (732) 212-6598 |
Dr. Margaret Mcguire, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 19 Davis Ave Fl 4, Neptune, NJ 07753 Phone: 732-935-0407 | |
Dr. Victoriya Staab, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 19 Davis Ave Fl 4, Neptune, NJ 07753 Phone: 732-935-0407 Fax: 732-935-0757 | |
Carney Thomas Desarno, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1820 Corlies Ave, Neptune, NJ 07753 Phone: 732-775-5005 Fax: 732-775-0064 | |
Dr. Anthony Joseph Scholer, MD, FACS, FSSO, M.BS Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Davis Ave, 2nd Fl, Neptune, NJ 07753 Phone: 732-776-4770 | |
Dr. Alexander L Shifrin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1945 State Route 33, Jersey Shore University Med. Ctr, Dept. Of Surgery, Neptune, NJ 07753 Phone: 732-776-4770 Fax: 732-776-3763 | |
Patricia Torres, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1945 State Route 33, Neptune, NJ 07753 Phone: 908-783-1543 |