Jacob William Diestelmann, PHD in Marshfield, WI - Medicare Clinical Psychologist Provider

Jacob William Diestelmann, PHD is a medicare enrolled "Psychologist" provider in Marshfield, Wisconsin. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mchs Hospitals Inc and his current practice location is 1000 N Oak Ave, Marshfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 387-5703.

Jacob William Diestelmann is licensed to practice in Wisconsin (license number 3608) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376064709.

Contact Information

	Jacob William Diestelmann, PHD
	1000 N Oak Ave, Marshfield, WI 54449-5703
	(715) 387-5703
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob William Diestelmann
Gender	Male
Speciality	Clinical Psychologist
Experience	9 Years
Location	1000 N Oak Ave, Marshfield, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob William Diestelmann graduated from medical school in 2017

NPI Data:

NPI Number: 1376064709
Provider Enumeration Date: 07/06/2017
Last Update Date: 02/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6305198060
Enrollment ID: I20181008000610

Medical Identifiers

Medical identifiers for Jacob William Diestelmann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376064709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3608 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marshfield Medical Center	Marshfield, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mchs Hospitals Inc	5698071173	1045

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. Jacob William Diestelmann allows following entities to bill medicare on his behalf.

Entity Name	Marshfield Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590

Entity Name	Mchs Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096

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. Jacob William Diestelmann 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
Jacob William Diestelmann, PHD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511	Jacob William Diestelmann, PHD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5703

Reviews and Comments

Psychologist in Marshfield, WI

Samantha Rose Eastberg, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
Joseph T Chojnacki, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5445
Sarah R Kortenkamp, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
Kelsie-marie Offenwanger, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
Dr. David K Pelo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5746
Rachel Young, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
Michael D Miller, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-389-3176

Jacob William Diestelmann, PHD - Medicare Psychologist in Marshfield, WI