Nicole Ann Dietzel, PA-C - Medicare Physician Assistant in Hartford, CT

Nicole Ann Dietzel, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Hartford, Connecticut. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Connecticut Children's Specialty Group, Inc and her current practice location is 282 Washington St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-9000.

Nicole Ann Dietzel is licensed to practice in Connecticut (license number 4636) 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 1053954222.

Contact Information

Nicole Ann Dietzel, PA-C
282 Washington St,
Hartford, CT 06106-3322
(860) 545-9000
Not Available

Map and Direction




Provider's Profile

Full NameNicole Ann Dietzel
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location282 Washington St, Hartford, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Ann Dietzel graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1053954222
  • Provider Enumeration Date: 10/21/2019
  • Last Update Date: 09/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991137473
  • Enrollment ID: I20191121002563

Medical Identifiers

Medical identifiers for Nicole Ann Dietzel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053954222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 4636 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Connecticut Children's Specialty Group, Inc6002720117152

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. Nicole Ann Dietzel 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
Nicole Ann Dietzel, PA-C
94 Hawthorne Dr,
Southington, CT 06489-2818

Ph: () -
Nicole Ann Dietzel, PA-C
282 Washington St,
Hartford, CT 06106-3322

Ph: (860) 545-9000

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).

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