Dr Austin Dean Diederich, PT, DPT is a medicare enrolled "Physical Therapist" provider in Marysville, Kansas. His current practice location is
708 N 18th St, Marysville, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 562-4480.
Dr Austin Dean Diederich is licensed to practice in Kansas (license number 1107150) 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 1265917827.
Healthcare Provider's Profile
| Full Name | Dr Austin Dean Diederich |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 708 N 18th St, Marysville, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265917827
- Provider Enumeration Date: 09/30/2018
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779000880
- Enrollment ID: I20250512001499
Medical Identifiers
Medical identifiers for Dr Austin Dean Diederich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265917827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1107150 (Kansas) | 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. Dr Austin Dean Diederich allows following entities to bill medicare on his behalf.
| Provider Name | Crist & Pieschl Rehabilitation, P.a. |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1053123422
PECOS PAC ID: 0042737249
Enrollment ID: O20250512000922 |
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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. Dr Austin Dean Diederich 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 |
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Dr Austin Dean Diederich, PT, DPT
708 N 18th St,
Marysville, KS 66508-1338
Ph: (785) 562-4480 | Dr Austin Dean Diederich, PT, DPT
708 N 18th St,
Marysville, KS 66508-1338
Ph: (785) 562-4480 |
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