Tessa Viola Dietz, CRNA is a
Nurse Anesthetist, Certified Registered based in Maplewood, Missouri. Tessa Viola Dietz is licensed to practice in Missouri (license number 2025032558) and her current practice location is
7712 Rannells Ave, Maplewood, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 537-3402.
NPI number for Tessa Viola Dietz is 1093491672 and her current mailing address is 7712 Rannells Ave, Maplewood, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093491672.
Provider's Profile
Full Name | Tessa Viola Dietz |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 7712 Rannells Ave, Maplewood, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093491672
- Provider Enumeration Date: 06/27/2023
- Last Update Date: 08/18/2025
Medical Identifiers
Medical identifiers for Tessa Viola Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093491672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 2025032558 (Missouri) | Primary |
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. Tessa Viola Dietz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tessa Viola Dietz, CRNA 7712 Rannells Ave, Maplewood, MO 63143-1806 Ph: (314) 537-3402 | Tessa Viola Dietz, CRNA 7712 Rannells Ave, Maplewood, MO 63143-1806 Ph: (314) 537-3402 |
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