Stacy Melissa Dietzgen, MD - Internal Medicine in Seattle, WA

Stacy Melissa Dietzgen, MD is a Internal Medicine - Cardiovascular Disease physician based in Seattle, Washington. Stacy Melissa Dietzgen is licensed to practice in Washington (license number MD60492901) and her current practice location is 1959 Ne Pacific St, Seattle, Washington. She can be reached at her office (for appointments etc.) via phone at (206) 598-4333.

NPI number for Stacy Melissa Dietzgen is 1487920575 and her current mailing address is Po Box 50095, Seattle, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487920575.

Contact Information

Stacy Melissa Dietzgen, MD
1959 Ne Pacific St,
Seattle, WA 98195-0001
(206) 598-4333
Not Available

Map and Direction




Physician's Profile

Full NameStacy Melissa Dietzgen
GenderFemale
SpecialityInternal Medicine - Cardiovascular Disease
Location1959 Ne Pacific St, Seattle, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487920575
  • Provider Enumeration Date: 03/22/2012
  • Last Update Date: 12/15/2022

Medical Identifiers

Medical identifiers for Stacy Melissa Dietzgen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487920575NPI-NPPES
1487920575MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD60492901 (Washington)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease MD60492901 (Washington)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. Stacy Melissa Dietzgen 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 AddressPractice Location Address
Stacy Melissa Dietzgen, MD
Po Box 50095,
Seattle, WA 98145-5095

Ph: (206) 543-6420
Stacy Melissa Dietzgen, MD
1959 Ne Pacific St,
Seattle, WA 98195-0001

Ph: (206) 598-4333

Reviews and Comments


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