| Dr Jason Michael Dierking, MD | |
|
210 E 5th St, Storm Lake, IA 50588-2342 | |
| (712) 213-4750 | |
| (712) 213-5230 |
| Full Name | Dr Jason Michael Dierking |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 210 E 5th St, Storm Lake, Iowa |
| 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 |
|---|---|---|---|
| 1477675940 | NPI | - | NPPES |
| 0786335 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 37099 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cherokee Regional Medical Center | Cherokee, IA | Hospital |
| Buena Vista Regional Medical Center | Storm lake, IA | Hospital |
| Loring Hospital | Sac city, IA | Hospital |
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Buena Vista Regional Medical Center | 3476464421 | 24 |
| Entity Name | Buena Vista Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780755728 PECOS PAC ID: 3476464421 Enrollment ID: O20040109001054 |
| Entity Name | Buena Vista Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134191653 PECOS PAC ID: 3476464421 Enrollment ID: O20070125000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Michael Dierking, MD 1525 W 5th St, Storm Lake, IA 50588-3027 Ph: (712) 213-4750 | Dr Jason Michael Dierking, MD 210 E 5th St, Storm Lake, IA 50588-2342 Ph: (712) 213-4750 |
Dr. John Gary Armstrong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 East 5th St, Storm Lake, IA 50588 Phone: 712-213-4750 Fax: 712-213-5230 |