275 ROUTE 30 N
BOMOSEEN, VT 05732-9647 US PECOS Enrolled
Hans Peter Diercksen
Family Medicine Physician
- BOMOSEEN, VT
- Phone: (802)-468-5641
- Last Updated 11/29/2016
Overview
Hans Peter Diercksen is a Family Medicine Physician in the BOMOSEEN area and has over 45 years of experience. Hans Peter Diercksen primary office location is at 275 ROUTE 30 N and new patients are welcome to contact this healthcare provider for an appointment. He attended State University Of Ny Upstate Medical University and graduated 1979
Hans Peter Diercksen is affiliated with three hospitals in the BOMOSEEN area, including MARY HITCHCOCK MEMORIAL HOSPITAL. The NPI number is 1518984541 and the information was updated approximately 8 years ago.
Hans Peter Diercksen is affiliated with one medical group in the BOMOSEEN area, COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 0420006786 | VT |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 0005458 | VT |
| MEDICAID | 02622237 | NY |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | VT | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20041129000668 |
| PECOS Individual PAC ID: | 7416912720 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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