Kimberly Kay Dietrich, NP in Bremen, IN - Medicare Nurse Practitioner

Kimberly Kay Dietrich, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Bremen, Indiana. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical, Aims-med, Llc and her current practice location is 417 S Whitlock St, Bremen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 546-0330.

Kimberly Kay Dietrich is licensed to practice in Indiana (license number 71010955A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497349666.

Contact Information

	Kimberly Kay Dietrich, NP
	417 S Whitlock St, Bremen, IN 46506-1626
	(574) 546-0330
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Kay Dietrich
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	417 S Whitlock St, Bremen, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Kay Dietrich graduated from nursing school in 2020

NPI Data:

NPI Number: 1497349666
Provider Enumeration Date: 02/26/2021
Last Update Date: 12/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5395151609
Enrollment ID: I20210311001849

Medical Identifiers

Medical identifiers for Kimberly Kay Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497349666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	71010955A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Theoria Medical	5395098339	414
Aims-med, Llc	5597176263	13

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. Kimberly Kay Dietrich allows following entities to bill medicare on her behalf.

Entity Name	Aims Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376072785 PECOS PAC ID: 6406126572 Enrollment ID: O20170721002478

Entity Name	Aims-med, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881211878 PECOS PAC ID: 5597176263 Enrollment ID: O20201201003204

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803

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. Kimberly Kay Dietrich 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
Kimberly Kay Dietrich, NP 417 S Whitlock St, Bremen, IN 46506-1626 Ph: (574) 546-0330	Kimberly Kay Dietrich, NP 417 S Whitlock St, Bremen, IN 46506-1626 Ph: (574) 546-0330

Reviews and Comments

Nurse Practitioner Nurses in Bremen, IN

Mrs. Lensa Gideon Girsha, BSN, MS, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-3730
Jessica Rae Ebey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W South St, Bremen, IN 46506 Phone: 574-301-7012 Fax: 574-301-7025
Sharlotte Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575
Ernest Dontae Young, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330
Alyssa Ingle, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363
Bethany Metz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575

Kimberly Kay Dietrich, NP - Medicare Nurse Practitioner in Bremen, IN