Mark B Dietrich is a Mc Donald, Tennessee based nurse anesthetist with 19 years of experience as Anesthesia Administration. He completed he graduation in 2006. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark B Dietrich is APN12260 for Anesthesia Administration in Tennessee. his current practice location is 384 Roark Ln, Mc Donald. Patients can reach him at 423-503-6343. Mark B Dietrich is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1427127190. Mark B Dietrich is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mark B Dietrich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2006
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
384 Roark Ln, Mc Donald, Tennessee, 37353-5238
Phone:
423-503-6343
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1658372982
Enrollment ID:
I20111206000210
NPI Number:
1427127190
NPI Enumeration Date:
07 Nov, 2006
NPI Last Update On:
24 Jan, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark B Dietrich are as mentioned below.
License Number
Specialization
State
Status
APN12260
Anesthesia Administration
Tennessee
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Fannin Regional Hospital (110189)
Blue ridge, GA
Acute Care Hospital
Ascension St Vincent Evansville (150100)
Evansville, IN
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mark B Dietrich has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fannin Regional Orthopaedic Center, Inc (0547543787)
11
Anesthesiology Group Associates Pc (0547233959)
46
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark B Dietrich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
104592
Medicaid
Alabama
P00744539
Other
Tennessee
RAILROAD MEDICARE
1509502
Medicaid
Tennessee
N457415
Other
Georgia
WELLCARE (GA MEDICAID)
002470891B
Medicaid
Georgia
4185343
Other
Tennessee
BLUE CROSS BLUE SHIELD TN
8053520
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
384 Roark Ln, Mc Donald, Tennessee
Zip:
37353-5238
Phone Number:
423-503-6343
Fax Number:
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Patients can reach Mark B Dietrich at 384 Roark Ln, Mc Donald, Tennessee or can call to book an appointment on 423-503-6343.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.