David Dietz, OTR/L in Carol Stream, IL - Medicare Occupational Therapist Provider

David Dietz, OTR/L is a medicare enrolled "Occupational Therapist" provider in Carol Stream, Illinois. His current practice location is 124 Windsor Park Dr, Carol Stream, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 510-4700.

David Dietz is licensed to practice in Illinois (license number 056.008407) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669896031.

Contact Information

	David Dietz, OTR/L
	124 Windsor Park Dr, Carol Stream, IL 60188-1986
	(630) 510-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Dietz
Gender	Male
Speciality	Occupational Therapist
Location	124 Windsor Park Dr, Carol Stream, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669896031
Provider Enumeration Date: 02/06/2014
Last Update Date: 02/06/2014

Medicare PECOS Information:

PECOS PAC ID: 4284162520
Enrollment ID: I20250114001632

Medical Identifiers

Medical identifiers for David Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669896031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.008407 (Illinois)	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. David Dietz allows following entities to bill medicare on his behalf.

Provider Name	Synergy Care Southeast Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20240731002829

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. David Dietz 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
David Dietz, OTR/L 818 Indiana Ave, St Charles, IL 60174-3138 Ph: (773) 716-4725	David Dietz, OTR/L 124 Windsor Park Dr, Carol Stream, IL 60188-1986 Ph: (630) 510-4700

Reviews and Comments

Occupational Therapist in Carol Stream, IL

Mrs. Wendy Lynn Oinonen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 677 Willow Dr, Carol Stream, IL 60188 Phone: 630-933-9036
Dr. Gail M Feltault, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1263 Trinity Dr, Carol Stream, IL 60188 Phone: 630-881-5345
Stephanie Czernek, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 330 Shawnee Dr, Carol Stream, IL 60188 Phone: 630-398-2829
Mrs. Meena R Shah, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Windsor Park Dr, Carol Stream, IL 60188 Phone: 630-510-2924
Christa Kentfield, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1375 Appomattox Trl, Carol Stream, IL 60188 Phone: 630-830-3099
Amanda J Perry, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 738 Army Trail Rd, Carol Stream, IL 60188 Phone: 815-469-1500
Marcus Christian Matundan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Windsor Park Dr, Carol Stream, IL 60188 Phone: 331-218-3637

David Dietz, OTR/L - Medicare Occupational Therapist in Carol Stream, IL