Dr Timothy John Dietrich, DO - Medicare Internal Medicine in Maumelle, AR

Dr Timothy John Dietrich, DO is a medicare enrolled "Internal Medicine" physician in Maumelle, Arkansas. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Arkansas Health Group and his current practice location is 1705 Club Manor Drive,, Suite 2, Maumelle, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 851-7402.

Dr Timothy John Dietrich is licensed to practice in Arkansas (license number E-3259) 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 1053654608.

Contact Information

Dr Timothy John Dietrich, DO
1705 Club Manor Drive,, Suite 2,
Maumelle, AR 72113-7401
(501) 851-7402
(501) 851-4753



Physician's Profile

Full NameDr Timothy John Dietrich
GenderMale
SpecialityInternal Medicine
Experience11 Years
Location1705 Club Manor Drive,, Maumelle, Arkansas
Accepts Medicare AssignmentsYes. 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 Timothy John Dietrich graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1053654608
  • Provider Enumeration Date: 04/02/2013
  • Last Update Date: 09/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0446576979
  • Enrollment ID: I20161020002351

Medical Identifiers

Medical identifiers for Dr Timothy John Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053654608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine E-3259 (Arkansas)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center-little RockLittle rock, ARHospital
Baptist Health Medical Center-stuttgartStuttgart, ARHospital
Baptist Health Medical Center Heber SpingsHeber springs, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arkansas Health Group7911802079541

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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 Timothy John Dietrich allows following entities to bill medicare on his behalf.
Entity NameBaptist Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578593067
PECOS PAC ID: 0648177949
Enrollment ID: O20031215000977

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Entity NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932118890
PECOS PAC ID: 7911802079
Enrollment ID: O20040726000650

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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 Timothy John 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 AddressPractice Location Address
Dr Timothy John Dietrich, DO
1701 Club Manor Drive, , Suite 2,
Maumelle, AR 72113-7401

Ph: (501) 851-7402
Dr Timothy John Dietrich, DO
1705 Club Manor Drive,, Suite 2,
Maumelle, AR 72113-7401

Ph: (501) 851-7402

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Internal Medicine Doctors in Maumelle, AR

Shamna Mohammed, M D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113
Phone: 501-851-7402    Fax: 501-851-4753
Dr. Terence Benjamin Wilson, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 7 Norfork Cv, Maumelle, AR 72113
Phone: 501-803-0361    
Anna Szwedo, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113
Phone: 501-851-7400    
Dr. Hani Jamal Alturkmani, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113
Phone: 501-851-7402    Fax: 501-851-4753
Muhammad Ressam Nazir, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113
Phone: 501-851-7402    Fax: 501-851-4753
Lovepreet Singh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113
Phone: 501-851-7402    Fax: 501-851-4753

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