Charles L Dietzek (NPI# 1639283344, PAC ID# 8921044785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1639283344 |
| PAC ID by PECOS | 8921044785 |
| Professional Enrollment ID | I20050718000080 |
| Full Name | Charles L Dietzek |
| Organization Legal Name | CHARLES L DIETZEK, DO, FACOS, PC |
| Address |
1101 White Horse Rd C Vein and Vascular Institute Voorhees NJ 08043-2157 |
| Phone Number | 8563099777 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1983 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 0143256792 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 1101 White Horse Rd C, Vein and Vascular Institute, Voorhees, NJ 08043-2157 | 8563099777 | CHARLES L DIETZEK, DO, FACOS, PC |
| 220 E Pine St, Vein and Vascular Institute, Williamstown, NJ 08094-1137 | 8563099777 | CHARLES L DIETZEK, DO, FACOS, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 97% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | CHARLES L DIETZEK, DO, FACOS, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika B Dietzek | Nurse Practitioner | Charles L Dietzek, Do, Facos, PC | 1101 White Horse Rd C, Vein and Vascular Institute, Voorhees, NJ 08043-2157 |
| Street Address |
1101 WHITE HORSE RD C VEIN AND VASCULAR INSTITUTE |
| City | VOORHEES |
| State | NJ |
| Zip | 08043-2157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika B Dietzek | Nurse Practitioner | Charles L Dietzek, Do, Facos, PC | 1101 White Horse Rd C, Vein and Vascular Institute, Voorhees, NJ 08043-2157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Egan | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Andrew M Alloy | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Michael B Goldstein | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Alex Celluzzi | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Alan J Mushnick | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Renee A Vekkos | Podiatry | 104 Homer Ave, Voorhees, NJ 08043-1041 | |
| Veena S Gandhi | Obstetrics/gynecology | Veena S Gandhi M.d. P.a. | 314 S Burnt Mill Rd, Voorhees, NJ 08043-1107 |
| Stephen D Raphael | Internal Medicine | 303 Haddonfield Berlin Rd, Voorhees, NJ 08043-1412 | |
| Jeffrey S Rosenman | Podiatry | 303 Haddonfield Berlin Rd, Voorhees, NJ 08043-1412 | |
| Jamal Mahmud | Psychiatry | Positive Beginnings | 22 Hidden Acres Dr, Voorhees, NJ 08043-1550 |
| Find all physicians in zip 08043 | |||
| City | VOORHEES |
| Zip Code | 08043 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | VOORHEES + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Charles L Dietzek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.