| Brian D Dieterle Md Pc | |
|
670 Branson Landing Blvd Ste 2 Branson MO 65616-2063 | |
| (417) 334-0810 | |
| (417) 334-6685 |
| Full Name | Brian D Dieterle Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 670 Branson Landing Blvd Ste 2, Branson, Missouri |
| Authorized Official Name and Position | Brian D Dieterle (PRESIDENT) |
| Authorized Official Contact | 4173340810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Dieterle Md Pc 670 Branson Landing Blvd Ste 2 Branson MO 65616-2063 Ph: (417) 334-0810 | Brian D Dieterle Md Pc 670 Branson Landing Blvd Ste 2 Branson MO 65616-2063 Ph: (417) 334-0810 |
| NPI Number | 1942487137 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 1658456355 |
|---|---|
| Medicare Enrollment ID | O20080305000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942487137 | NPI | - | NPPES |
| 203602404 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 102259 (Missouri) | Primary |
| Provider Name | Brian D Dieterle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518920412 PECOS PAC ID: 7416039474 Enrollment ID: I20080129000733 |
Skaggs South Pointe Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2461 State Highway 165, Suite E, Branson, MO 65616 Phone: 417-348-8964 Fax: 417-336-0275 | |
Premier Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 State Highway 248, Branson, MO 65616 Phone: 417-336-5100 Fax: 417-336-5107 | |
Skaggs Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Branson Landing Blvd, Suite 504, Branson, MO 65616 Phone: 417-335-7540 Fax: 417-335-7544 | |
Skaggs Center For Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Branson Landing Blvd, Suite 401, Branson, MO 65616 Phone: 417-335-7000 Fax: 417-335-7588 | |
Coxhealth Family Medicine & Obstetrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Branson Landing Blvd Ste 508, Branson, MO 65616 Phone: 417-335-7540 Fax: 417-335-7544 | |
Drs Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 3rd St, Branson, MO 65616 Phone: 417-334-3655 Fax: 417-334-3614 | |
Skaggs Roark Valley Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Cahill Rd, Suite 201, Branson, MO 65616 Phone: 417-335-7555 Fax: 417-335-7588 |