Jay Martin Dietrich is a Bloomington, Illinois based nurse practitioner with 4 years of experience in . He completed his graduation in 2020. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jay Martin Dietrich is 209021931 in Illinois. His current practice location is 2200 E Washington St, Bloomington. Patients can reach him at 309-662-3311. Jay Martin Dietrich is APN, NP-C and his NPI number (Unique professional ID assigned by NPPES) is 1225629447. Jay Martin Dietrich has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jay Martin Dietrich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jay Martin Dietrich
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
APN, NP-C
Experience:
4+ years
Medical School Attended:
Other
Graduation Year:
2020
Accepts Medicare Assignment:
Yes
Practice Address:
2200 E Washington St, Bloomington, Illinois, 61701-4364
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:
7810305646
Enrollment ID:
I20210416000215
NPI Number:
1225629447
NPI Enumeration Date:
30 Jan, 2021
NPI Last Update On:
30 Jan, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jay Martin Dietrich are as mentioned below.
License Number
Specialization
State
Status
209021931
Illinois
Primary
041446858
Registered Nurse
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140162)
Bloomington, IL
Acute Care Hospital
(140067)
Peoria, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jay Martin Dietrich is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Osf Multi-specialty Group (3678889789)
1494
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jay Martin Dietrich 206 Beacon Cir, Bloomington, Illinois
Zip:
61704-1414
Phone Number:
309-502-0379
Patients can reach Jay Martin Dietrich at 2200 E Washington St, Bloomington, Illinois or can call to book an appointment on 309-662-3311.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.