| Joshua P Dietzer, MD | |
|
3131 S Main St, Emergency Department, Moultrie, GA 31768-6925 | |
| (850) 391-1752 | |
| (850) 273-6357 |
| Full Name | Joshua P Dietzer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 3131 S Main St, Moultrie, Georgia |
| 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 |
|---|---|---|---|
| 1306080759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 66479 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | ME107771 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Bayfront Health Seven Rivers | Crystal river, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franklin County Board Of County Commissioners | 3274541115 | 28 |
| Paragon Emergency Services Llc | 8628153087 | 398 |
| Emergency Group Of Columbus Llc | 2668735515 | 42 |
| Entity Name | Southland Hospitalist At Weems Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801170113 PECOS PAC ID: 2860667508 Enrollment ID: O20111208000449 |
| Entity Name | Southland Ems At Weems Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124302443 PECOS PAC ID: 8820263171 Enrollment ID: O20111214000834 |
| Entity Name | W4p Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua P Dietzer, MD 6300 90th Ave N, Pinellas Park, FL 33782-4709 Ph: (850) 391-1752 | Joshua P Dietzer, MD 3131 S Main St, Emergency Department, Moultrie, GA 31768-6925 Ph: (850) 391-1752 |
Dr. Robert L Sasine, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 | |
Dr. Michael A Thayer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 |