Faith Dieleman, MD - Medicare Family Practice in Vancouver, WA

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Faith Dieleman, MD is a medicare enrolled "Family Medicine" physician in Vancouver, Washington. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Samaritan Pacific Health Services Inc, Samaritan North Lincoln Hospital and her current practice location is 3400 Main St, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 696-5232.

Faith Dieleman is licensed to practice in Washington (license number MD61374305) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942860994.

Contact Information

Faith Dieleman, MD
3400 Main St,
Vancouver, WA 98663-2223
(360) 696-5232
(360) 696-5228

Map and Direction




Physician's Profile

Full NameFaith Dieleman
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location3400 Main St, Vancouver, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Faith Dieleman graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1942860994
  • Provider Enumeration Date: 06/20/2019
  • Last Update Date: 05/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658778568
  • Enrollment ID: I20220830003880

Medical Identifiers

Medical identifiers for Faith Dieleman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942860994NPI-NPPES
12083MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD210121 (Oregon)Secondary
207Q00000XFamily Medicine RL15725 (North Dakota)Secondary
207Q00000XFamily Medicine MD61374305 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan Pacific Community HospitalNewport, ORHospital
Samaritan North Lincoln HospitalLincoln city, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samaritan Pacific Health Services Inc246635352973
Samaritan North Lincoln Hospital791181630151

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. Faith Dieleman allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameSamaritan North Lincoln Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304
Entity NameSamaritan North Lincoln Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20061104000117
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1801847066
PECOS PAC ID: 2466353529
Enrollment ID: O20061104000163
Entity NameOregon Healthcare Resources Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982907572
PECOS PAC ID: 4486835477
Enrollment ID: O20110223001220

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. Faith Dieleman 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
Faith Dieleman, MD
701 E Rosser Ave,
Bismarck, ND 58501-4457

Ph: () -		Faith Dieleman, MD
3400 Main St,
Vancouver, WA 98663-2223

Ph: (360) 696-5232

Reviews and Comments


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Andrea Vallejo Carnie, M.D.
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Dr. Kevin Deweber, MD, FAMSSM, FAAFP
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Dr. David Paik, MD
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Dr. Jeffrey C Dart, M.D.
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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.