Daniel John Dieterichs, OD - Medicare Optometrist in Albuquerque, NM

Daniel John Dieterichs, OD is a medicare enrolled "Optometrist" provider in Albuquerque, New Mexico. His current practice location is 3701 Eubank Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 298-2020.

Daniel John Dieterichs is licensed to practice in New Mexico (license number 390) 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 1407867245.

Contact Information

Daniel John Dieterichs, OD
3701 Eubank Blvd Ne,
Albuquerque, NM 87111-3536
(505) 298-2020
Not Available



Healthcare Provider's Profile

Full NameDaniel John Dieterichs
GenderMale
SpecialityOptometrist
Location3701 Eubank Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407867245
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 02/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426181710
  • Enrollment ID: I20100806000763

Medical Identifiers

Medical identifiers for Daniel John Dieterichs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407867245NPI-NPPES
201014237OtherNMPRESBYTERIAN NEW MEXICO
DA6066OtherNMRAILROAD MEDICARE GROUP
410049648OtherNMRAILROAD MEDICARE INDIVID
4991500001OtherNMDMERC
NM00P502OtherNMBLUE CROSS AND BLUE SHIEL
000E8983MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 390 (New Mexico)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. Daniel John Dieterichs allows following entities to bill medicare on his behalf.
Provider NameAlbuquerque Associates Of Optometry
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114058005
PECOS PAC ID: 9335138452
Enrollment ID: O20040512000299

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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. Daniel John Dieterichs 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
Daniel John Dieterichs, OD
1606 Jack Nicklaus Dr,
Belen, NM 87002-5925

Ph: (505) 450-5343
Daniel John Dieterichs, OD
3701 Eubank Blvd Ne,
Albuquerque, NM 87111-3536

Ph: (505) 298-2020

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Optometrist in Albuquerque, NM

R Torres O D P C
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1421 N Renaissance Blvd Ne, Suite A, Albuquerque, NM 87107
Phone: 505-342-1111    Fax: 505-342-1121
Dr. Fritz Alfred Rohrkaste, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2630 Carlisle Blvd, Ne, Albuquerque, NM 87110
Phone: 505-889-3339    Fax: 505-881-0351
Dr. Christopher Charles Cordes, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 801 Vassar Dr Ne, Albuquerque, NM 87106
Phone: 505-248-4003    Fax: 505-248-7721
Nicolette Estrada, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4905 San Timoteo Ave Nw, Albuquerque, NM 87114
Phone: 505-400-5319    
Zoe Baker, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 6401 Holly Ave Ne, Albuquerque, NM 87113
Phone: 505-355-2020    
James Etre, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5150 Journal Center Blvd Ne, Albuquerque, NM 87109
Phone: 505-262-3937    Fax: 505-262-3366
Hero Vision Of West Albuquerque
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4208 Central Ave Sw Ste G, Albuquerque, NM 87105
Phone: 719-576-1850    

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