Arleta Dedianous, APRN is a
Pediatrics - Pediatric Allergy/immunology based in Peoria, Illinois. Arleta Dedianous is licensed to practice in Illinois (license number 209.002443041.253592) and her current practice location is
2900 N Knoxville Ave, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 308-2000.
NPI number for Arleta Dedianous is 1912787813 and her current mailing address is 2900 N Knoxville Ave, Peoria, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912787813.
Provider's Profile
| Full Name | Arleta Dedianous |
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| Gender | Female |
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| Speciality | Pediatrics - Pediatric Allergy/immunology |
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| Location | 2900 N Knoxville Ave, Peoria, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912787813
- Provider Enumeration Date: 09/29/2023
- Last Update Date: 09/29/2023
Medical Identifiers
Medical identifiers for Arleta Dedianous such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912787813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | 209.002443041.253592 (Illinois) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 209.002443041.253592 (Illinois) | 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. Arleta Dedianous 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 |
Arleta Dedianous, APRN 2900 N Knoxville Ave, Peoria, IL 61603-1748 Ph: (309) 308-2000 | Arleta Dedianous, APRN 2900 N Knoxville Ave, Peoria, IL 61603-1748 Ph: (309) 308-2000 |
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