Dillon Bieger
Individual provider Active NPI Physician Assistant · Valrico, FL
NPI 1952054751 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1952054751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9118918 (FL)
- Practice address
- 1310 Oxmoor CT
Valrico, FL 33596-5621 - Phone
- (321) 525-1516
- NPI assigned
- Feb 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Regional Health Systems Inc
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1248
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000
3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565
Attn Managed Care
1324 Lakeland HLLS Blvd
Lakeland, FL 33805-4543
Hospital & facility affiliations
- Lakeland Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240704000580 | FL | Practitioner - Physician Assistant | 5496299125 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Surgery Center, LLC | Past | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dbieger53838@lrhs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9118918 | FL | Yes |
Addresses
Primary practice location
1310 Oxmoor CT
Valrico, FL 33596-5621
Mailing address
1310 Oxmoor CT
Valrico, FL 33596-5621
Phone (321) 525-1516
Other practice location 1
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Other providers in Valrico, FL
- Fay Ann Bergeron
- Alyssa Best
- Lisa Michelle Bettcher
- Edward Betzer
- Beyond Academics
- Lauren Elizabeth Bisson
- Cassandra Eileen Blakley
- Bloomingdale Pediatric Ass PA
- Christopher Micah Bluhm
- Beatriz C. Boling
All providers in Valrico, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.