| Dr Michael Edward Dietz, DO | |
|
100 River Valley Blvd., New Richmond, OH 45157 | |
| (513) 553-3114 | |
| (513) 553-1032 |
| Full Name | Dr Michael Edward Dietz |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 100 River Valley Blvd., New Richmond, Ohio |
| 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 |
|---|---|---|---|
| 1326199829 | NPI | - | NPPES |
| 2788649 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34.005088 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-anderson Hospital | Cincinnati, OH | Hospital |
| Mercy Health - Clermont Hospital | Batavia, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthsource Of Ohio, Inc. | 2264328749 | 49 |
| Entity Name | Healthsource Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275966863 PECOS PAC ID: 2264328749 Enrollment ID: O20140521002611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Edward Dietz, DO 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041 | Dr Michael Edward Dietz, DO 100 River Valley Blvd., New Richmond, OH 45157 Ph: (513) 553-3114 |
Mary A Bishop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 River Valley Blvd, New Richmond, OH 45157 Phone: 513-553-3114 Fax: 513-553-1032 | |
Brittney Wethington, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 River Valley Blvd, New Richmond, OH 45157 Phone: 513-553-3114 Fax: 513-553-1032 |