Mayra Diaz, is a medicare enrolled "Social Worker - Clinical" provider in Melrose Park, Illinois. Her current practice location is
1414 Main St, Melrose Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 786-8510.
Mayra Diaz is licensed to practice in Illinois (license number 149027238) 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 1992320485.
Healthcare Provider's Profile
| Full Name | Mayra Diaz |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1414 Main St, Melrose Park, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992320485
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416491824
- Enrollment ID: I20240626003275
Medical Identifiers
Medical identifiers for Mayra Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992320485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149027238 (Illinois) | 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. Mayra Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Presence Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477622298
PECOS PAC ID: 7517864143
Enrollment ID: O20031212000734 |
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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. Mayra 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 |
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Mayra Diaz,
3539 W Le Moyne St,
Chicago, IL 60651-2210
Ph: (312) 912-2645 | Mayra Diaz,
1414 Main St,
Melrose Park, IL 60160-3902
Ph: (708) 786-8510 |
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