Daniel John Dieterichs, OD in Albuquerque, NM - Medicare Optometrist Provider

Daniel John Dieterichs, OD is a medicare enrolled "Optometrist" provider in Albuquerque, New Mexico. His current practice location is 3701 Eubank Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 298-2020.

Daniel John Dieterichs is licensed to practice in New Mexico (license number 390) 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 1407867245.

Contact Information

	Daniel John Dieterichs, OD
	3701 Eubank Blvd Ne, Albuquerque, NM 87111-3536
	(505) 298-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Daniel John Dieterichs
Gender	Male
Speciality	Optometrist
Location	3701 Eubank Blvd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407867245
Provider Enumeration Date: 08/10/2006
Last Update Date: 02/26/2020

Medicare PECOS Information:

PECOS PAC ID: 8426181710
Enrollment ID: I20100806000763

Medical Identifiers

Medical identifiers for Daniel John Dieterichs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407867245	NPI	-	NPPES
201014237	Other	NM	PRESBYTERIAN NEW MEXICO
DA6066	Other	NM	RAILROAD MEDICARE GROUP
410049648	Other	NM	RAILROAD MEDICARE INDIVID
4991500001	Other	NM	DMERC
NM00P502	Other	NM	BLUE CROSS AND BLUE SHIEL
000E8983	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	390 (New Mexico)	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. Daniel John Dieterichs allows following entities to bill medicare on his behalf.

Provider Name	Albuquerque Associates Of Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114058005 PECOS PAC ID: 9335138452 Enrollment ID: O20040512000299

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. Daniel John Dieterichs 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
Daniel John Dieterichs, OD 1606 Jack Nicklaus Dr, Belen, NM 87002-5925 Ph: (505) 450-5343	Daniel John Dieterichs, OD 3701 Eubank Blvd Ne, Albuquerque, NM 87111-3536 Ph: (505) 298-2020

Reviews and Comments

Optometrist in Albuquerque, NM

R Torres O D P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1421 N Renaissance Blvd Ne, Suite A, Albuquerque, NM 87107 Phone: 505-342-1111 Fax: 505-342-1121
Dr. Fritz Alfred Rohrkaste, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2630 Carlisle Blvd, Ne, Albuquerque, NM 87110 Phone: 505-889-3339 Fax: 505-881-0351
Dr. Eileen Cheng, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711
Dr. Christopher Charles Cordes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 801 Vassar Dr Ne, Albuquerque, NM 87106 Phone: 505-248-4003 Fax: 505-248-7721
Nicolette Estrada, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4905 San Timoteo Ave Nw, Albuquerque, NM 87114 Phone: 505-400-5319
Zoe Baker, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6401 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-355-2020
James Etre, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5150 Journal Center Blvd Ne, Albuquerque, NM 87109 Phone: 505-262-3937 Fax: 505-262-3366

Daniel John Dieterichs, OD - Medicare Optometrist in Albuquerque, NM