Dr Timothy Ross Diestelkamp, MD - Medicare Radiology in Phoenix, AZ

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Dr Timothy Ross Diestelkamp, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Phoenix, Arizona. His current practice location is 4302 E Whitton Ave, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (251) 680-6451.

Dr Timothy Ross Diestelkamp is licensed to practice in Arizona (license number 72505) 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 1861998635.

Contact Information

Dr Timothy Ross Diestelkamp, MD
4302 E Whitton Ave,
Phoenix, AZ 85018-5944
(251) 680-6451
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Ross Diestelkamp
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location4302 E Whitton Ave, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861998635
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 04/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567709595
  • Enrollment ID: I20240516002353

Medical Identifiers

Medical identifiers for Dr Timothy Ross Diestelkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861998635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 72505 (Arizona)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 Timothy Ross Diestelkamp allows following entities to bill medicare on his behalf.
Entity NameSouthwest Diagnostic Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20190423002693
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20210107002039

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 Timothy Ross Diestelkamp 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 AddressPractice Location Address
Dr Timothy Ross Diestelkamp, MD
4302 E Whitton Ave,
Phoenix, AZ 85018-5944

Ph: () -		Dr Timothy Ross Diestelkamp, MD
4302 E Whitton Ave,
Phoenix, AZ 85018-5944

Ph: (251) 680-6451

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.