Dr Henry T Dietrich Iii, MD in Williamsport, PA

Dr Henry T Dietrich Iii, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Williamsport, Pennsylvania. His current practice location is 425 Market St, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 368-4477.

Dr Henry T Dietrich Iii is licensed to practice in Pennsylvania (license number MD045437E) 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 1922074046.

Contact Information

	Dr Henry T Dietrich Iii, MD
	425 Market St, Williamsport, PA 17701-6345
	(570) 368-4477
	(570) 368-4476

Map and Direction

Physician's Profile

Full Name	Dr Henry T Dietrich Iii
Gender	Male
Speciality	Family Medicine - Addiction Medicine
Location	425 Market St, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922074046
Provider Enumeration Date: 02/28/2006
Last Update Date: 08/24/2020

Medicare PECOS Information:

PECOS PAC ID: 9830130327
Enrollment ID: I20050516000082

Medical Identifiers

Medical identifiers for Dr Henry T Dietrich Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922074046	NPI	-	NPPES
001192281	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD045437E (Pennsylvania)	Secondary
207QA0401X	Family Medicine - Addiction Medicine	MD045437E (Pennsylvania)	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 Henry T Dietrich Iii allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Geisinger-hm Joint Venture Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803

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 Henry T Dietrich Iii 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 Henry T Dietrich Iii, MD 100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903 Ph: (570) 271-6144	Dr Henry T Dietrich Iii, MD 425 Market St, Williamsport, PA 17701-6345 Ph: (570) 368-4477

Reviews and Comments

Family Medicine Doctors in Williamsport, PA

Dr. Kathleen Claire Lewis, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Four Mile Dr, Williamsport, PA 17701 Phone: 570-327-1000 Fax: 570-323-6079
Alexander Elli Nuique Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 River Avenue Fl 2, Williamsport, PA 17701 Phone: 570-326-4118 Fax: 570-326-5533
Jeffrey Verzella, Family Medicine Medicare: Medicare Enrolled Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701 Phone: 570-321-2345
Courtney Leigh Goettel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 4001, Williamsport, PA 17701 Phone: 570-321-2345
Dr. Alyssa Elizabeth Heinrich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2850
Leeanna Lyne, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701 Phone: 570-320-7800
Daniel R Conner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400

Dr Henry T Dietrich Iii, MD - Medicare Family Medicine in Williamsport, PA