Tara Ann Dietrick, RN, CRNA in San Francisco, CA - Medicare Nurse Anesthetist, Certified Registered

Tara Ann Dietrick, RN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Francisco, California. Her current practice location is 1001 Potrero Ave, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 206-8134.

Tara Ann Dietrick is licensed to practice in California (license number 594418) 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 1528248754.

Contact Information

	Tara Ann Dietrick, RN, CRNA
	1001 Potrero Ave, San Francisco, CA 94110-3518
	(415) 206-8134
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Ann Dietrick
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1001 Potrero Ave, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528248754
Provider Enumeration Date: 11/05/2007
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1951480078
Enrollment ID: I20080430000785

Medical Identifiers

Medical identifiers for Tara Ann Dietrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528248754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	594418 (California)	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. Tara Ann Dietrick allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366417420 PECOS PAC ID: 5496668410 Enrollment ID: O20031112000551

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. Tara Ann Dietrick 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
Tara Ann Dietrick, RN, CRNA 1001 Potrero Ave, San Francisco, CA 94110-3518 Ph: (415) 206-8134	Tara Ann Dietrick, RN, CRNA 1001 Potrero Ave, San Francisco, CA 94110-3518 Ph: (415) 206-8134

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Francisco, CA

Robert Christian Wenz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-8054 Fax: 415-353-8674
Christine Iyer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1160 Post St, San Francisco, CA 94109 Phone: 415-440-1100 Fax: 415-440-6430
Hans K Hoogs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Potrero Ave # 3c38, San Francisco, CA 94110 Phone: 628-206-8145 Fax: 628-206-6014
Molyan Hiett Dery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1160 Post St, San Francisco, CA 94109 Phone: 415-440-1100 Fax: 415-440-6430
Mardochee Val, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-3918
Kesiah Daphne Louis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-8054 Fax: 415-353-8674
Lois Jacobs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 Clement St, San Francisco, CA 94121 Phone: 415-750-2069

Tara Ann Dietrick, RN, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Francisco, CA