Megan Dietze-fiedler, MD - Medicare Surgery in Green Bay, WI

Megan Dietze-fiedler, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Green Bay, Wisconsin. Her current practice location is 2461 Holmgren Way, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Megan Dietze-fiedler is licensed to practice in Wisconsin (license number 82071-20) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699126052.

Contact Information

Megan Dietze-fiedler, MD
2461 Holmgren Way,
Green Bay, WI 54304-5224
(920) 496-4700
Not Available

Map and Direction




Physician's Profile

Full NameMegan Dietze-fiedler
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location2461 Holmgren Way, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699126052
  • Provider Enumeration Date: 06/28/2016
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799079703
  • Enrollment ID: I20230821001679

Medical Identifiers

Medical identifiers for Megan Dietze-fiedler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699126052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 82071-20 (Wisconsin)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. Megan Dietze-fiedler allows following entities to bill medicare on her behalf.
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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. Megan Dietze-fiedler 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
Megan Dietze-fiedler, MD
Po Box 19070,
Green Bay, WI 54307-9070

Ph: (920) 496-4700
Megan Dietze-fiedler, MD
2461 Holmgren Way,
Green Bay, WI 54304-5224

Ph: (920) 496-4700

Reviews and Comments


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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.