Diane L Dejong, PHYSICIAN ASSISTANT is a
Physician Assistant based in Sully, Iowa. Diane L Dejong is licensed to practice in Iowa (license number 001494) and her current practice location is
704 3rd St, Sully, Iowa. She can be reached at her office (for appointments etc.) via phone at
(641) 594-3150.
NPI number for Diane L Dejong is 1124008354 and her current mailing address is 704 3rd St, Sully, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124008354.
Provider's Profile
| Full Name | Diane L Dejong |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 704 3rd St, Sully, Iowa |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124008354
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 08/31/2022
Medical Identifiers
Medical identifiers for Diane L Dejong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124008354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 001494 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 001494 (Iowa) | 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. Diane L Dejong 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 |
Diane L Dejong, PHYSICIAN ASSISTANT 704 3rd St, Sully, IA 50251-1016 Ph: (641) 594-3150 | Diane L Dejong, PHYSICIAN ASSISTANT 704 3rd St, Sully, IA 50251-1016 Ph: (641) 594-3150 |
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