Peter E Diedrichsen, MD is a
Ophthalmology physician based in Columbus, Nebraska. Peter E Diedrichsen is licensed to practice in Nebraska (license number 14980) and his current practice location is 3772 43rd Ave, Suite A, Columbus, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(402) 563-3686.
NPI number for Peter E Diedrichsen is 1194702597 and his current mailing address is Po Box 1275, Columbus, Nebraska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194702597.
Physician's Profile
| Full Name | Peter E Diedrichsen |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
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| Location | 3772 43rd Ave, Columbus, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194702597
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 09/08/2023
Medical Identifiers
Medical identifiers for Peter E Diedrichsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194702597 | NPI | - | NPPES |
| 47082635813 | Medicaid | NE | |
| 01493 | Other | NE | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 14980 (Nebraska) | Primary |
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. Peter E Diedrichsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Peter E Diedrichsen, MD Po Box 1275, Columbus, NE 68602-1681 Ph: (402) 563-3686 | Peter E Diedrichsen, MD 3772 43rd Ave, Suite A, Columbus, NE 68601-1681 Ph: (402) 563-3686 |
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