Kristen Shaw Deitchman, DO - Medicare Pediatrics in Nottingham, MD

Kristen Shaw Deitchman, DO is a medicare enrolled "Pediatrics" physician in Nottingham, Maryland. Her current practice location is 4924 Campbell Blvd, Suite 200, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 442-2300.

Kristen Shaw Deitchman is licensed to practice in Maryland (license number H0081342) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477849149.

Contact Information

Kristen Shaw Deitchman, DO
4924 Campbell Blvd, Suite 200,
Nottingham, MD 21236-5908
(443) 442-2300
(410) 367-2035



Physician's Profile

Full NameKristen Shaw Deitchman
GenderFemale
SpecialityPediatrics
Location4924 Campbell Blvd, Nottingham, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477849149
  • Provider Enumeration Date: 06/21/2011
  • Last Update Date: 10/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1355663436
  • Enrollment ID: I20161115000436

Medical Identifiers

Medical identifiers for Kristen Shaw Deitchman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477849149NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics H0081342 (Maryland)Primary

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. Kristen Shaw Deitchman allows following entities to bill medicare on her behalf.
Entity NameJohns Hopkins Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578598868
PECOS PAC ID: 8325943707
Enrollment ID: O20031220000065

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Entity NameUpper Chesapeake Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497801419
PECOS PAC ID: 3173556974
Enrollment ID: O20050913000525

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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. Kristen Shaw Deitchman 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
Kristen Shaw Deitchman, DO
4924 Campbell Blvd, Suite 200,
Nottingham, MD 21236-5908

Ph: (443) 442-2300
Kristen Shaw Deitchman, DO
4924 Campbell Blvd, Suite 200,
Nottingham, MD 21236-5908

Ph: (443) 442-2300

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› Verified 2 days ago


Pediatrics Doctors in Nottingham, MD

Smita N Vazarkar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236
Phone: 443-442-2300    
Christina Margaret Brown, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236
Phone: 410-933-7600    Fax: 410-933-7601
Ethel Mojoko, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4924 Campbell Blvd, #200, Nottingham, MD 21236
Phone: 443-442-2300    
Dr. Anthony F Pinto Iii, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236
Phone: 443-442-2300    
Dr. Richard Laroy Dietrich, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236
Phone: 410-933-7600    Fax: 410-933-7802
Dr. Judith Rubin Dejarnette, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236
Phone: 410-933-7600    

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