| Fernando Dietsch Jr, MD | |
|
723 Memorial St, Prosser, WA 99350-1524 | |
| (509) 786-2222 | |
| (509) 786-6612 |
| Full Name | Fernando Dietsch Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 723 Memorial St, Prosser, Washington |
| 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 |
|---|---|---|---|
| 1962455535 | NPI | - | NPPES |
| 162391 | Other | WA | LABOR & INDUSTRIES # |
| 8325656 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00041643 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Quincy Valley Medical Center | Quincy, WA | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grant County Hospital District No. 2 | 8921919077 | 7 |
| Entity Name | Southern Coos Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542 |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20050506000187 |
| Entity Name | Western Healthcare Services Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336878024 PECOS PAC ID: 7911388202 Enrollment ID: O20220718002665 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Dietsch Jr, MD 21 W Imperial St, Walla Walla, WA 99362-4457 Ph: (509) 301-9342 | Fernando Dietsch Jr, MD 723 Memorial St, Prosser, WA 99350-1524 Ph: (509) 786-2222 |
Edward Lane, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Katheryn Norris, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Kiranmayi Korimerla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 336 Chardinnay Ave #a, Kadlec Clinic Prosser Primary Care, Prosser, WA 99350 Phone: 509-786-2002 Fax: 509-786-2026 | |
Dr. Ben Williams Sonnichsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 Memorial Street, Suite 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Joji Kohjima, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Jessica Roberts, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Dr. Asuquo A Esuabana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 723 Memorial St, Prosser, WA 99350 Phone: 509-786-2307 |