Dr David W Dietz, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Cleveland, Ohio. He graduated from medical school in 1993 and has 33 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice New York University and his current practice location is
9500 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 444-5404.
Dr David W Dietz is licensed to practice in New York (license number 332702) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578581039.
Physician's Profile
| Full Name | Dr David W Dietz |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 33 Years |
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| Location | 9500 Euclid Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David W Dietz graduated from medical school in 1993
NPI Data:
- NPI Number: 1578581039
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032203229
- Enrollment ID: I20241011001342
Medical Identifiers
Medical identifiers for Dr David W Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578581039 | NPI | - | NPPES |
| 205682909 | Medicaid | MO | |
| 2267596 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208C00000X | Colon & Rectal Surgery | 2001031151 (Missouri) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 332702 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New York University | 1355232422 | 5925 |
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. Dr David W Dietz allows following entities to bill medicare on his behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026 |
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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. Dr David W 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 |
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Dr David W Dietz, MD
6000 W Creek Rd, Suite 10,
Independence, OH 44131-2139
Ph: (216) 444-5404 | Dr David W Dietz, MD
9500 Euclid Ave,
Cleveland, OH 44195-0001
Ph: (216) 444-5404 |
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