Mr Claude Gregory Diettrich, CRNA in Roanoke Rapids, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Claude Gregory Diettrich, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roanoke Rapids, North Carolina. He graduated from nursing school in 1993 and has 33 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice American Anesthesiology Of Virginia Pc and his current practice location is 104 Gail Dr, Roanoke Rapids, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 533-0413.

Mr Claude Gregory Diettrich is licensed to practice in Virginia (license number 0024164474) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689787640.

Contact Information

	Mr Claude Gregory Diettrich, CRNA
	104 Gail Dr, Roanoke Rapids, NC 27870-9202
	(252) 533-0413
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Claude Gregory Diettrich
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	33 Years
Location	104 Gail Dr, Roanoke Rapids, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Claude Gregory Diettrich graduated from nursing school in 1993

NPI Data:

NPI Number: 1689787640
Provider Enumeration Date: 08/16/2006
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 9739158593
Enrollment ID: I20141226000318

Medical Identifiers

Medical identifiers for Mr Claude Gregory Diettrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689787640	NPI	-	NPPES
8051649	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	044226 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024164474 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Virginia Regional Medical Center	Emporia, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Anesthesiology Of Virginia Pc	6800790023	428

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. Mr Claude Gregory Diettrich allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770

Entity Name	Ams Virginia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356812242 PECOS PAC ID: 9638411598 Enrollment ID: O20190425002386

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. Mr Claude Gregory Diettrich 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
Mr Claude Gregory Diettrich, CRNA 104 Gail Dr, Roanoke Rapids, NC 27870-9202 Ph: (252) 533-0413	Mr Claude Gregory Diettrich, CRNA 104 Gail Dr, Roanoke Rapids, NC 27870-9202 Ph: (252) 533-0413

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roanoke Rapids, NC

Mr. Steven Robert Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185
Mr. David Christopher Michael, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8437
John Eric Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185
Mr. Kenneth Ivan Hartz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185
Elizabeth Jarman Crawley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185

Mr Claude Gregory Diettrich, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Roanoke Rapids, NC