LUCAS ALAN DIETRICH PA
NPI 1689918278
Physician Assistant in Winston Salem, NC

Active since November 20, 2012PECOS Enrolled
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103(336) 765-0383 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 24, 2023, Feb 10, 2021, Oct 18, 2018 (3 updates tracked since 2018).

About Lucas Alan Dietrich Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS ALAN DIETRICH PA (NPI 1689918278) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-08128) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689918278
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLUCAS ALAN DIETRICHCredential: PA
Location Address3001 LYNDHURST AVEWinston Salem, NC 27103-4007
Mailing Address3001 Lyndhurst AveWinston Salem, NC 27103-4007 · (336) 765-0383 · Fax (336) 768-1737
Sole ProprietorNo
Enumeration DateNovember 20, 2012
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1689918278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-08128 Licensed in CO · 3555
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3001 LYNDHURST AVE, Winston Salem, NC 27103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lucas Alan Dietrich Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3001 LYNDHURST AVE, SALEM CHEST SPECIALISTS
WINSTON SALEM, NC 27103
Internal Medicine (Pulmonary Disease)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Internal Medicine (Critical Care Medicine)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Physician Assistant
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Physician Assistant (Medical)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Physician Assistant (Medical)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Physician Assistant
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Nurse Practitioner
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689918278, enumerated as an "individual" on November 20, 2012.

The provider is located at 3001 LYNDHURST AVE WINSTON SALEM, NC 27103 and the phone number is (336) 765-0383.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.