Dr Kenneth Anthony Dietrich, MD, MBA in Elma, WA - Medicare

Dr Kenneth Anthony Dietrich, MD, MBA is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Elma, Washington. His current practice location is 600 E Main St, Elma, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 346-2240.

Dr Kenneth Anthony Dietrich is licensed to practice in Washington (license number 27133) 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 1245288752.

Contact Information

	Dr Kenneth Anthony Dietrich, MD, MBA
	600 E Main St, Elma, WA 98541-9560
	(360) 346-2240
	(360) 346-2192

Physician's Profile

Full Name	Dr Kenneth Anthony Dietrich
Gender	Male
Speciality
Experience	Years
Location	600 E Main St, Elma, Washington
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:

Dr Kenneth Anthony Dietrich attended and graduated from in

NPI Data:

NPI Number: 1245288752
Provider Enumeration Date: 05/05/2006
Last Update Date: 04/04/2019

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Kenneth Anthony Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245288752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	27133 (Washington)	Primary

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 Kenneth Anthony Dietrich 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
Dr Kenneth Anthony Dietrich, MD, MBA 600 E Main St, Elma, WA 98541-9560 Ph: (360) 346-2240	Dr Kenneth Anthony Dietrich, MD, MBA 600 E Main St, Elma, WA 98541-9560 Ph: (360) 346-2240

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Dr Kenneth Anthony Dietrich, MD, MBA - Medicare in Elma, WA