Kevin O Dieckhaus, MD - Medicare Infectious Disease in Farmington, CT

Kevin O Dieckhaus, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Farmington, Connecticut. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice University Of Connecticut Health Center and his current practice location is 263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 679-4225.

Kevin O Dieckhaus is licensed to practice in Connecticut (license number 035297) 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 1316942378.

Contact Information

Kevin O Dieckhaus, MD
263 Farmington Ave,
Farmington, CT 06030-0001
(860) 679-4225
(860) 679-1217



Physician's Profile

Full NameKevin O Dieckhaus
GenderMale
SpecialityInfectious Disease
Experience32 Years
Location263 Farmington Ave, Farmington, Connecticut
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:
  • Kevin O Dieckhaus attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1316942378
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 09/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537284179
  • Enrollment ID: I20100920000287

Medical Identifiers

Medical identifiers for Kevin O Dieckhaus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316942378NPI-NPPES
001352971MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 035297 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John Dempsey HospitalFarmington, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Connecticut Health Center3678472016523

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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. Kevin O Dieckhaus allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Connecticut Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720083769
PECOS PAC ID: 3678472016
Enrollment ID: O20040106000105

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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. Kevin O Dieckhaus 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
Kevin O Dieckhaus, MD
263 Farmington Ave, Provider Enrollment,
Farmington, CT 06030-2212

Ph: (860) 679-7503
Kevin O Dieckhaus, MD
263 Farmington Ave,
Farmington, CT 06030-0001

Ph: (860) 679-4225

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Internal Medicine Doctors in Farmington, CT

Maroun Sfeir,
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 263 Farmington Avenue, Farmington, CT 06030
Phone: 860-679-2980    Fax: 860-679-4334
Andrew Arnold, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3245    Fax: 860-679-1867
Dr. Neelam Tailor, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4763    Fax: 860-479-4624
Dr. David K. Bowers, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 263 Farmington Ave, Farmington, CT 06032
Phone: 860-679-4477    Fax: 860-679-1025
Scott R Allen, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4477    Fax: 860-679-1025
Carl D Malchoff, MD
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3245    Fax: 860-679-1867
Beatriz R Esayag-tendler, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3343    Fax: 860-679-4256

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