Harry C Dietz Iii, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Baltimore, Maryland. His current practice location is
600 N Wolfe St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 955-3071.
Harry C Dietz Iii is licensed to practice in Maryland (license number D38909) 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 1114954906.
Physician's Profile
Full Name | Harry C Dietz Iii |
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Gender | Male |
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Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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Location | 600 N Wolfe St, Baltimore, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114954906
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 12/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 2466584230
- Enrollment ID: I20100714000117
Medical Identifiers
Medical identifiers for Harry C Dietz Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114954906 | NPI | - | NPPES |
604171000 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D38909 (Maryland) | Secondary |
207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | D38909 (Maryland) | 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. Harry C Dietz Iii allows following entities to bill medicare on his behalf.
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
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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. Harry C Dietz Iii 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 |
Harry C Dietz Iii, MD Po Box 64316, Baltimore, MD 21264-4316 Ph: () - | Harry C Dietz Iii, MD 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 955-3071 |
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