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Dr. Kenneth Anthony Dietrich

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NPI Number Detailed Information

Provider Information:

Name: Dr. Kenneth Anthony Dietrich
Gender: M
Provider License Number If Given: 27133

NPI Information:

NPI: 1245288752
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/5/2006

Last Update Date: 4/4/2019

Reputation Report:

Provider Business Mailing Address:

Address: 600 E MAIN ST
Elma, WA 98541
Phone Number: 3603462240
Fax Number: 3603462192

Provider Business Practice Location Address:

Address: 600 E MAIN ST
Elma, WA 98541
Phone Number: 3603462240
Fax Number: 3603462192

Provider Taxonomy:

Primary: 2080P0203X
Secondary (if any):
State: WA

Top Doctors in WA

 

About Dr. Kenneth Anthony Dietrich

Dr. Kenneth Anthony Dietrich (DR. KENNETH ANTHONY DIETRICH ) is A Pediatrics Physician in Elma, WA. The NPI Number for Dr. Kenneth Anthony Dietrich is 1245288752.
The current location address for Dr. Kenneth Anthony Dietrich is 600 E MAIN ST Elma, WA 98541 and the contact number is 3603462240 and fax number is 3603462192. The mailing address for Dr. Kenneth Anthony Dietrich is 600 E MAIN ST Elma, WA 98541- 3603462240 (mailing address contact number - 3603462240).
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Kenneth Anthony Dietrich ?


Answer: The NPI Number for Dr. Kenneth Anthony Dietrich is 1245288752

Where is Dr. Kenneth Anthony Dietrich located?


Answer: Dr. Kenneth Anthony Dietrich is located at 600 E MAIN ST Elma, WA 98541.

What is the specialty for Dr. Kenneth Anthony Dietrich ?


Answer: The Specialty of Dr. Kenneth Anthony Dietrich is A Pediatrics Physician.

Are there any online reviews for Dr. Kenneth Anthony Dietrich ?


Answer: Yes! Check It Now.

Are there any other health care providers in Elma, WA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Kenneth Anthony Dietrich

Number of HCPCS 14
Number of Medicare Beneficiaries 70
Number of Services 185
Total Submitted Charge Amount 117220
Total Medicare Allowed Amount 13358.76
Total Medicare Payment Amount 10607.76
Total Medicare Standardized Payment Amount 10493.67
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 14
Number of Medicare Beneficiaries With Medical 70
Number of Medical Services 185
Total Medical Submitted Charge Amount 117220
Total Medical Medicare Allowed Amount 13358.76
Total Medical Medicare Payment Amount 10607.76
Total Medical Medicare Standardized Payment Amount 10493.67
Average Age of Beneficiaries 77
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84 28
Number of Beneficiaries Age Greater 84 17
Number of Female Beneficiaries 39
Number of Male Beneficiaries 31
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 26
Number of Beneficiaries With Medicare Only Entitlement 44
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.19
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.33
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.44
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.59
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.4
Percent (%) of Beneficiaries Identified With Depression 0.3
Percent (%) of Beneficiaries Identified With Diabetes 0.37
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.51
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.37
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.33
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.6262

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Pediatric Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 59
Number of Standardized 30-Day Fills 63.133333333
Aggregate Cost Paid for All Claims 2942.19
Number of Day's Supply for All Claims 1378
Number of Medicare Beneficiaries 27
Number of Claims, Including Refills, for Beneficiaries Age 65+ 48
Including Refills, for Beneficiaries Age 65+ 50.133333333
Beneficiaries Age 65+ 2322.45
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1086
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 53
Aggregate Cost Paid for Generic Drugs 424.36
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 11
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 484.15
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 48
Aggregate Cost Paid for Claims Filled by 2458.04
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 30
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1184.36
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 29
by Low-Income Subsidy 1757.83
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.555555556
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 27
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 14
Average Hierarchical Condition Category 1.5200740741

More Providers in elma , wa

Dr. Kenneth Anthony Dietrich
Pediatric Critical Care Medicine Physician
NPI Number: 1245288752
Address: 600 E MAIN ST Elma, WA 98541 , Phone: 3603462240
Laurie A. Belknap
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Ms. Tammy H. Moore
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Ms. Anita M. Remerowski
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Ms. Shawn M. Andrews
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Erika L. Thomas
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Ms. Jo Ann Catherine Yost
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Dr. Bernadette Louise Huard
Psychiatry Physician
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Northwest Indian Treatment Center
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David S Blackett
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Address: 615 W. WALDRIP ST. Elma, WA 98541 , Phone: 3604824000
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Address: 525 E MAIN STREET Elma, WA 98541 , Phone: 3604825358
Clyde Arthur Hanson
Emergency Medicine Physician
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Address: 600 E MAIN ST Elma, WA 98541 , Phone: 3603462299
Huttula Enterprises Inc
Community/Retail Pharmacy
NPI Number: 1780746396
Address: 402 W. MAIN ST. Elma, WA 98541 , Phone: 3604822512
Huttula Enterprises Inc
Community/Retail Pharmacy
NPI Number: 1235291725
Address: 221 W. MAIN ST. Elma, WA 98541 , Phone: 3604822442
Teresa Jane Anderson
Physical Therapist
NPI Number: 1083779433
Address: 26 ABBOTT RD Elma, WA 98541 , Phone: 2066567300
Holly Hope Paul
Family Nurse Practitioner
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Address: 515 W MAIN Elma, WA 98541 , Phone: 3604825298
Mrs. Joanne I Wieser
Addiction (Substance Use Disorder) Counselor
NPI Number: 1477604056
Address: 411 N. 3RD ST. SUITE A3 Elma, WA 98541 , Phone: 3608618184
M & K Etc Inc
Chiropractor
NPI Number: 1699817197
Address: 103 N 1ST STREET Elma, WA 98541 , Phone: 3604825155
Dr. John E Tyner
Chiropractor
NPI Number: 1346384427
Address: 302 W ANDERSON ST Elma, WA 98541 , Phone: 3604825110
Grays Harbor County Public Hospital District No. 1
Family Medicine Physician
NPI Number: 1811025216
Address: 610 E MAIN STREET Elma, WA 98541 , Phone: 3603462222
Kathy T Gere
Clinical Social Worker
NPI Number: 1205950060
Address: 411 N 3RD ST STE A3 Elma, WA 98541 , Phone: 3609998850
Jamie G Graves
Physical Therapist
NPI Number: 1487770392
Address: 575 E MAIN ST BUILDING 1, SUITE A Elma, WA 98541 , Phone: 3604825640
Teresa Kneeland Carlson
Physical Therapist
NPI Number: 1922125251
Address: 575 E MAIN ST Elma, WA 98541 , Phone: 3604825640
Ms. Amy E. Thomason
Massage Therapist
NPI Number: 1770602179
Address: 101 N. 1ST STREET Elma, WA 98541 , Phone: 3604826363
Ms. Kristin Rain Dineen
Massage Therapist
NPI Number: 1083831671
Address: 101 N. 1ST STREET Elma, WA 98541 , Phone: 3604826363
Kenneth W. Mcelroy
Physician Assistant
NPI Number: 1093923005
Address: 11 SCHOUWEILER RD Elma, WA 98541 , Phone: 3604825300
Elma Health Care Clinic, Llc
Medical Physician Assistant
NPI Number: 1881803922
Address: 11 SCHOUWEILER RD Elma, WA 98541 , Phone: 3604825300
Mrs. Kristi Lynn Covey
Occupational Therapist
NPI Number: 1871792507
Address: 600 E MAIN ST Elma, WA 98541 , Phone: 3603462299
Josh Rawleigh
Physical Therapy Assistant
NPI Number: 1831379239
Address: 575 E MAIN ST BLDG 1 SUITE A Elma, WA 98541 , Phone: 3604825132
Susan L. Borg
Physical Therapy Assistant
NPI Number: 1447431754
Address: 575 E MAIN ST Elma, WA 98541 , Phone: 3604825640
Charlene Abrahamson
Addiction (Substance Use Disorder) Counselor
NPI Number: 1558543454
Address: 308 E YOUNG ST Elma, WA 98541 , Phone: 3604822674
Dr. Nicole Antonucci Taylor
Naturopath
NPI Number: 1952585176
Address: 600 E MAIN ST Elma, WA 98541 , Phone: 3603462278
Mrs. Chrystal Renee Weld
Mechanotherapist
NPI Number: 1871762179
Address: 319 WEST MAIN ST. Elma, WA 98541 , Phone: 3604823044
Dr. Travis Micheal Vaughn
Chiropractor
NPI Number: 1427220318
Address: 103 NORTH 1ST Elma, WA 98541 , Phone: 3604825155
Grays Harbor County Public Hospital District No 1
Medicare Defined Swing Bed Hospital Unit
NPI Number: 1750554366
Address: 600 E. MAIN STREET Elma, WA 98541 , Phone: 3604953244
Matthew S. Peterson
Chiropractor
NPI Number: 1508039777
Address: 103 N. 1ST STREET Elma, WA 98541 , Phone: 3604825155
Rebecca Jane Blumberg
Massage Therapist
NPI Number: 1437308319
Address: 304 W MAIN STE 8 Elma, WA 98541 , Phone: 3604703388
Grays Harbor Community Hospital
Rehabilitation Hospital Unit
NPI Number: 1073763314
Address: 575 E MAIN ST BUILDING 1 SUIET A Elma, WA 98541 , Phone: 3605376116
Ms. Kari M Lima
Family Medicine Physician
NPI Number: 1194977272
Address: 575 E. MAIN STREET Elma, WA 98541 , Phone: 3607823711
Dr. Laura Elaine Armstrong
Family Medicine Physician
NPI Number: 1497995823
Address: 610 E MAIN ST Elma, WA 98541 , Phone: 3603462222
Judy Anne Monroe
Massage Therapist
NPI Number: 1710117148
Address: 101 N. 1ST STREET Elma, WA 98541 , Phone: 3604826363
Mrs. Beverly Mcclure Hinson
Occupational Therapist
NPI Number: 1841421997
Address: 575 E MAIN ST #1A Elma, WA 98541 , Phone: 3604825640
Linda L. Rutledge
Counselor
NPI Number: 1942431937
Address: 501 WEST YOUNG AVE. Elma, WA 98541 , Phone: 3602492399
Ms. Mary Ellen Biggerstaff
Family Nurse Practitioner
NPI Number: 1366775652
Address: 600 E. MAIN STREET Elma, WA 98541 , Phone: 3604953244
Dr. Justin K. Taylor
Naturopath
NPI Number: 1558697698
Address: 600 E MAIN ST Elma, WA 98541 , Phone: 3603462222
Cristiana Maria Franklin
Addiction (Substance Use Disorder) Counselor
NPI Number: 1659603066
Address: 308 E. YOUNG Elma, WA 98541 , Phone: 3604822674
Melody Lynn Starkey
Addiction (Substance Use Disorder) Counselor
NPI Number: 1750613162
Address: 308 EAST YOUNG Elma, WA 98541 , Phone: 3604822674

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