Suzanne Tellez Diaz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Page, Arizona. Her current practice location is
463 S Lake Powell Blvd, Page, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 645-5113.
Suzanne Tellez Diaz is licensed to practice in Arizona (license number 22052) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609626449.
Healthcare Provider's Profile
Full Name | Suzanne Tellez Diaz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 463 S Lake Powell Blvd, Page, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609626449
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375088479
- Enrollment ID: I20240712003144
Medical Identifiers
Medical identifiers for Suzanne Tellez Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609626449 | NPI | - | NPPES |
22052 | Other | AZ | LCSW LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 22052 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Suzanne Tellez Diaz allows following entities to bill medicare on her behalf.
Entity Name | Community Bridges Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suzanne Tellez Diaz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Suzanne Tellez Diaz, LCSW Po Box 790, Page, AZ 86040-0790 Ph: (928) 433-3732 | Suzanne Tellez Diaz, LCSW 463 S Lake Powell Blvd, Page, AZ 86040-0856 Ph: (928) 645-5113 |
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