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

Dr Timothy Ross Diestelkamp, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Phoenix, Arizona. He went to Cooper Medical School Of Rowan University and graduated in 2018 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sonoran Radiology Ltd and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Dr Timothy Ross Diestelkamp
Gender	Male
Speciality	Diagnostic Radiology
Experience	7 Years
Location	4302 E Whitton Ave, Phoenix, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy Ross Diestelkamp attended and graduated from Cooper Medical School Of Rowan University in 2018

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.

Identifier	Type	State	Issuer
1861998635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	72505 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Scottsdale Osborn Medical Center	Scottsdale, AZ	Hospital
Honorhealth Deer Valley Medical Center	Phoenix, AZ	Hospital
Honorhealth Scottsdale Shea Medical Center	Scottsdale, AZ	Hospital
John C. Lincoln North Mountain Hospital	Phoenix, AZ	Hospital
Scottsdale Thompson Peak Medical Center	Scottsdale, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sonoran Radiology Ltd	3375964505	386

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 Name	Southwest Diagnostic Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20190423002693

Entity Name	Sonoran Radiology Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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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Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340
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Joel James Hayden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340

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