Kathryn M Dietz, PA-C - Medicare Physician Assistant in Columbia, MO

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Kathryn M Dietz, PA-C is a medicare enrolled "Physician Assistant" in Columbia, Missouri. Her current practice location is 1 Hospital Dr, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-6955.

Kathryn M Dietz is licensed to practice in Missouri (license number 2017019767) 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 1255861902.

Contact Information

Kathryn M Dietz, PA-C
1 Hospital Dr,
Columbia, MO 65212-0001
(573) 882-6955
(573) 884-0437

Map and Direction




Provider's Profile

Full NameKathryn M Dietz
GenderFemale
SpecialityPhysician Assistant
Location1 Hospital Dr, Columbia, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255861902
  • Provider Enumeration Date: 06/15/2017
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496026817
  • Enrollment ID: I20170803001629

Medical Identifiers

Medical identifiers for Kathryn M Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255861902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2017019767 (Missouri)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. Kathryn M Dietz allows following entities to bill medicare on her behalf.
Entity NameHermann Area Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083749188
PECOS PAC ID: 5496669962
Enrollment ID: O20031118000740
Entity NameThe Curators of the University of Missouri
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235126921
PECOS PAC ID: 4486759560
Enrollment ID: O20070418000290
Entity NameEmergent Care Plus LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396923181
PECOS PAC ID: 0547328460
Enrollment ID: O20081022000252
Entity NameNextcare Missouri LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245694082
PECOS PAC ID: 7517259252
Enrollment ID: O20160715001960

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. Kathryn M Dietz 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 AddressPractice Location Address
Kathryn M Dietz, PA-C
Po Box 843966,
Kansas City, MO 64184-3966

Ph: (573) 882-3300		Kathryn M Dietz, PA-C
1 Hospital Dr,
Columbia, MO 65212-0001

Ph: (573) 882-6955

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.