Dr Elisabeth A Dietrich, MD in Charlottesville, VA - Medicare Psychiatry & Neurology

Dr Elisabeth A Dietrich, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Charlottesville, Virginia. Her current practice location is 1300 Jefferson Park Ave, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-2241.

Dr Elisabeth A Dietrich is licensed to practice in Virginia (license number 0101274680) 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 1922621622.

Contact Information

	Dr Elisabeth A Dietrich, MD
	1300 Jefferson Park Ave, Charlottesville, VA 22903-3363
	(434) 924-2241
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Elisabeth A Dietrich
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	1300 Jefferson Park Ave, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922621622
Provider Enumeration Date: 05/28/2020
Last Update Date: 07/28/2025

Medicare PECOS Information:

PECOS PAC ID: 6204252570
Enrollment ID: I20240715001470

Medical Identifiers

Medical identifiers for Dr Elisabeth A Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922621622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	1019087 (Massachusetts)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	0101274680 (Virginia)	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. Dr Elisabeth A Dietrich allows following entities to bill medicare on her behalf.

Entity Name	Brigham & Womens Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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 Elisabeth A 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
Dr Elisabeth A Dietrich, MD Po Box 749112, Atlanta, GA 30374-9112 Ph: (434) 295-1000	Dr Elisabeth A Dietrich, MD 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 Ph: (434) 924-2241

Reviews and Comments

Psychiatry & Neurology Doctors in Charlottesville, VA

Robert E Adams, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911 Phone: 434-654-8960 Fax: 434-654-8962
Dr. Celia Foster, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22903 Phone: 434-924-2241
Gregory W. Cooper, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Lee St, Charlottesville, VA 22908 Phone: 434-924-2706 Fax: 434-924-9068
Jim B Tucker, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 310 Old Ivy Way, Charlottesville, VA 22903 Phone: 434-243-6950 Fax: 434-243-6970
Dr. Joseph Jordan David, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 535 Westfield Rd, Suite 100, Charlottesville, VA 22901 Phone: 434-973-9739 Fax: 434-973-0756
Dr. Gregory B Saathoff, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1861 Field Rd, Charlottesville, VA 22903 Phone: 434-531-4331
Paul C Wilkins, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 175 S Pantops Dr Ste 205, Charlottesville, VA 22911 Phone: 434-296-9740 Fax: 434-284-8923

Dr Elisabeth A Dietrich, MD - Medicare Psychiatry & Neurology in Charlottesville, VA