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Mrs. Nicole Dawn Diedrich

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Nicole Dawn Diedrich
Gender: F
Provider License Number If Given: 70013314

NPI Information:

NPI: 1750438826
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/4/2007

Last Update Date: 7/11/2018

Provider Business Mailing Address:

Address: 600 OAKMONT LN STE 600C
Westmont, IL 60559
Phone Number: 6305904046
Fax Number:

Provider Business Practice Location Address:

Address: 219 MAIN ST
Pecatonica, IL 61063
Phone Number: 8152392233
Fax Number: 8152399999

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 225100000X
State: IL

Top Doctors in IL

 

About Mrs. Nicole Dawn Diedrich

Mrs. Nicole Dawn Diedrich (MRS. NICOLE DAWN DIEDRICH ) is An Specialist Physician in Pecatonica, IL. The NPI Number for Mrs. Nicole Dawn Diedrich is 1750438826.
The current location address for Mrs. Nicole Dawn Diedrich is 219 MAIN ST Pecatonica, IL 61063 and the contact number is 6305904046 and fax number is . The mailing address for Mrs. Nicole Dawn Diedrich is 600 OAKMONT LN STE 600C Westmont, IL 60559- 8152392233 (mailing address contact number - 6305904046).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Nicole Dawn Diedrich ?


Answer: The NPI Number for Mrs. Nicole Dawn Diedrich is 1750438826

Where is Mrs. Nicole Dawn Diedrich located?


Answer: Mrs. Nicole Dawn Diedrich is located at 219 MAIN ST Pecatonica, IL 61063.

What is the specialty for Mrs. Nicole Dawn Diedrich ?


Answer: The Specialty of Mrs. Nicole Dawn Diedrich is An Specialist Physician.

Are there any online reviews for Mrs. Nicole Dawn Diedrich ?


Answer: Not yet!

Are there any other health care providers in Pecatonica, IL?


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 Mrs. Nicole Dawn Diedrich

Number of HCPCS 11
Number of Medicare Beneficiaries 52
Number of Services 1980
Total Submitted Charge Amount 174217
Total Medicare Allowed Amount 56427.6
Total Medicare Payment Amount 44890.7
Total Medicare Standardized Payment Amount 44720.17
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 11
Number of Medicare Beneficiaries With Medical 52
Number of Medical Services 1980
Total Medical Submitted Charge Amount 174217
Total Medical Medicare Allowed Amount 56427.6
Total Medical Medicare Payment Amount 44890.7
Total Medical Medicare Standardized Payment Amount 44720.17
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 28
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 36
Number of Male Beneficiaries 16
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.23
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.25
Percent (%) of Beneficiaries Identified With Diabetes 0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.71
Percent (%) of Beneficiaries Identified With Hypertension 0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.23
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.73
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9589

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Mrs. Nicole Dawn Diedrich
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NPI Number: 1750438826
Address: 219 MAIN ST Pecatonica, IL 61063 , Phone: 8152392233
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Andrena Sayles
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Pecatonica Fire Protection District
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Address: 1221 MAIN ST Pecatonica, IL 61063 , Phone: 8152392513
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Address: 1200 MAIN ST # 419 Pecatonica, IL 61063 , Phone: 8156242615
Sandell Family Chiropractic Ltd
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Mrs. Valerie Diane Heim
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Kimberly A Goodnite
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Address: 427 MAIN ST Pecatonica, IL 61063 , Phone: 8152391121
Heather Jean Lynde
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NPI Number: 1801174610
Address: 129 W 4TH ST Pecatonica, IL 61063 , Phone: 8159905641
William D Cox
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Address: 3258 S. PECATONICA RD. Pecatonica, IL 61063 , Phone: 8152810902
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Address: 727 MAIN ST Pecatonica, IL 61063 , Phone: 8152391313
Mrs. Sarah Kuperus
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Address: PO BOX 419 Pecatonica, IL 61063 , Phone: 7795379520
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Address: 1200 MAIN ST Pecatonica, IL 61063 , Phone: 8152392611
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Mrs. Nicole Dawn Diedrich in Other Directories

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