Marissa Diaz, LCSW is a medicare enrolled "Social Worker" provider in Albuquerque, New Mexico. Her current practice location is
6431 Dante Ln Nw, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 239-7576.
Marissa Diaz is licensed to practice in * (Not Available) (license number ) 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 1427541507.
Healthcare Provider's Profile
Full Name | Marissa Diaz |
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Gender | Female |
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Speciality | Social Worker |
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Location | 6431 Dante Ln Nw, Albuquerque, New Mexico |
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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: 1427541507
- Provider Enumeration Date: 06/13/2018
- Last Update Date: 09/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395142558
- Enrollment ID: I20210930002245
Medical Identifiers
Medical identifiers for Marissa Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427541507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | 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. Marissa Diaz allows following entities to bill medicare on her behalf.
Entity Name | Mindset Therapy And Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710652755 PECOS PAC ID: 2668879826 Enrollment ID: O20210930002004 |
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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. Marissa 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 |
Marissa Diaz, LCSW 6431 Dante Ln Nw, Albuquerque, NM 87114-5024 Ph: (505) 239-7576 | Marissa Diaz, LCSW 6431 Dante Ln Nw, Albuquerque, NM 87114-5024 Ph: (505) 239-7576 |
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