| Jennifer L Dietrich, MD | |
|
10 Woodland Rd, Saint Helena, CA 94574-9554 | |
| (707) 963-3611 | |
| Not Available |
| Full Name | Jennifer L Dietrich |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 10 Woodland Rd, Saint Helena, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871751628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A139371 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lyons Huber Anesthesia, A Medical Corporation | 2062511447 | 4 |
| Entity Name | Lyons Huber Anesthesia, A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619022852 PECOS PAC ID: 2062511447 Enrollment ID: O20070626000446 |
| Entity Name | Blue Eagle Anesthesia Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396822326 PECOS PAC ID: 3577613017 Enrollment ID: O20090604000185 |
| Entity Name | Lyons Huber Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891370854 PECOS PAC ID: 4789093741 Enrollment ID: O20210504002949 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Dietrich, MD 239 Brannan St, #12 G, San Francisco, CA 94107-2023 Ph: (405) 613-2561 | Jennifer L Dietrich, MD 10 Woodland Rd, Saint Helena, CA 94574-9554 Ph: (707) 963-3611 |
Daniel G Huber, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Road, Saint Helena, CA 94574 Phone: 707-963-3611 | |
Timothy C Lyons, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-3611 | |
Dr. Marya Eileen Leahy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Road, Saint Helena, CA 94574 Phone: 707-963-3611 |