Samantha Dieterich, MD in Round Rock, TX

Samantha Dieterich, MD is a medicare enrolled "Pediatrics" physician in Round Rock, Texas. Her current practice location is 300 University Blvd, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 509-0203.

Samantha Dieterich is licensed to practice in Texas (license number M6588) 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 1043437940.

Contact Information

	Samantha Dieterich, MD
	300 University Blvd, Round Rock, TX 78664-1032
	(512) 509-0203
	Not Available

Map and Direction

Physician's Profile

Full Name	Samantha Dieterich
Gender	Female
Speciality	Pediatrics
Location	300 University Blvd, Round Rock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043437940
Provider Enumeration Date: 04/20/2007
Last Update Date: 01/11/2021

Medicare PECOS Information:

PECOS PAC ID: 4385736271
Enrollment ID: I20070823000257

Medical Identifiers

Medical identifiers for Samantha Dieterich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043437940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M6588 (Texas)	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. Samantha Dieterich allows following entities to bill medicare on her behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

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. Samantha Dieterich 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
Samantha Dieterich, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800	Samantha Dieterich, MD 300 University Blvd, Round Rock, TX 78664-1032 Ph: (512) 509-0203

Reviews and Comments

Pediatrics Doctors in Round Rock, TX

Debaroti M Addy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15930 S Great Oaks Dr, Building B, Round Rock, TX 78681 Phone: 512-255-8868 Fax: 512-255-8869
Johelin F De Freitas Hernandez, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-0285
Edgar Noe Navarro Garza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 W Louis Henna Blvd, Ste 100, Round Rock, TX 78728 Phone: 855-481-8375 Fax: 512-788-5819
Trevor Turner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7200 Wyoming Spgs, Suite #1500, Round Rock, TX 78681 Phone: 512-218-8696 Fax: 512-218-9532
Dr. Rafael A De Haro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7200 Wyoming Spgs Ste 200, Round Rock, TX 78681 Phone: 512-244-5959 Fax: 512-244-1156
Ashley Mcclary, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 940 Hesters Crossing Rd, Round Rock, TX 78681 Phone: 512-244-9024 Fax: 512-406-7342

Samantha Dieterich, MD - Medicare Pediatrics in Round Rock, TX