Dr Thompson Mack Dietz Iv, MD in Slidell, LA - Medicare Radiology

Dr Thompson Mack Dietz Iv, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Slidell, Louisiana. His current practice location is 1495 Gause Blvd, Slidell, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 405-5200.

Dr Thompson Mack Dietz Iv is licensed to practice in Louisiana (license number 013772) 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 1083619241.

Contact Information

	Dr Thompson Mack Dietz Iv, MD
	1495 Gause Blvd, Slidell, LA 70458-2205
	(985) 405-5200
	(985) 405-5201

Physician's Profile

Full Name	Dr Thompson Mack Dietz Iv
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1495 Gause Blvd, Slidell, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083619241
Provider Enumeration Date: 06/15/2005
Last Update Date: 02/20/2008

Medicare PECOS Information:

PECOS PAC ID: 3779553144
Enrollment ID: I20040731000150

Medical Identifiers

Medical identifiers for Dr Thompson Mack Dietz Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083619241	NPI	-	NPPES
1323764	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	013772 (Louisiana)	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 Thompson Mack Dietz Iv 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 Thompson Mack Dietz Iv, MD Po Box 8861, Metairie, LA 70011-8861 Ph: (985) 405-5200	Dr Thompson Mack Dietz Iv, MD 1495 Gause Blvd, Slidell, LA 70458-2205 Ph: (985) 405-5200

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Radiology Doctors in Slidell, LA

Dr. Arthur Jerry Satterlee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 Gause Blvd, Slidell, LA 70458 Phone: 985-643-5476 Fax: 985-641-2854
Dr. Daniel Joseph Bourgeois Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 Robert Blvd Ste 100, Slidell, LA 70458 Phone: 985-280-8868 Fax: 985-280-6642
Dale Moreland Maccurdy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-646-0691 Fax: 985-646-0750
Robert G Swanton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 Robert Blvd Suite 100, Slidell, LA 70458 Phone: 985-280-8688 Fax: 985-280-6642
Kishore Vasudev Kamath, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-646-0691 Fax: 985-646-0750
Michael H Hayman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1001 Gause Blvd, Radiation Oncology Department, Slidell, LA 70458 Phone: 985-649-8688 Fax: 985-649-8642

Dr Thompson Mack Dietz Iv, MD - Medicare Radiology in Slidell, LA