Ann Marie Dietrich, MD in Greenville, SC

Ann Marie Dietrich, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Greenville, South Carolina. Her current practice location is 701 Grove Rd Fl 1, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 455-7899.

Ann Marie Dietrich is licensed to practice in South Carolina (license number 86478) 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 1972505915.

Contact Information

	Ann Marie Dietrich, MD
	701 Grove Rd Fl 1, Greenville, SC 29605-4210
	(864) 455-7899
	(864) 455-5474

Map and Direction

Physician's Profile

Full Name	Ann Marie Dietrich
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	701 Grove Rd Fl 1, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972505915
Provider Enumeration Date: 08/10/2005
Last Update Date: 05/02/2022

Medicare PECOS Information:

PECOS PAC ID: 8820145691
Enrollment ID: I20210826002334

Medical Identifiers

Medical identifiers for Ann Marie Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972505915	NPI	-	NPPES
2028273	Medicaid	OH
0105570000	Medicaid	WV
6486614800	Medicaid	KY
PENDING	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	86478 (South Carolina)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	35055079 (Ohio)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	86478 (South Carolina)	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. Ann Marie Dietrich allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Ann Marie 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 Address	Practice Location Address
Ann Marie Dietrich, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Ann Marie Dietrich, MD 701 Grove Rd Fl 1, Greenville, SC 29605-4210 Ph: (864) 455-7899

Reviews and Comments

Pediatrics Doctors in Greenville, SC

Angela Murray Young, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848
Brittany Walker, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895
Philip Edward Manley Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 890 S Pleasantburg Dr, Greenville, SC 29607 Phone: 864-271-1450 Fax: 864-271-3914

Ann Marie Dietrich, MD - Medicare Pediatrics in Greenville, SC