Carlos A Diaz, DDS in Austin, TX - Medicare Dentist Provider

Carlos A Diaz, DDS is a medicare enrolled "Dentist" provider in Austin, Texas. His current practice location is 1101 Camino La Costa, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 478-4939.

Carlos A Diaz is licensed to practice in Texas (license number 27958) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497019822.

Contact Information

	Carlos A Diaz, DDS
	1101 Camino La Costa, Austin, TX 78752-3930
	(512) 478-4939
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carlos A Diaz
Gender	Male
Speciality	Dentist
Location	1101 Camino La Costa, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497019822
Provider Enumeration Date: 06/29/2012
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 5193971760
Enrollment ID: I20120814000516

Medical Identifiers

Medical identifiers for Carlos A Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497019822	NPI	-	NPPES
27958	Other	TX	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	27958 (Texas)	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. Carlos A Diaz allows following entities to bill medicare on his behalf.

Entity Name	Peoples Community Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598896391 PECOS PAC ID: 1951337237 Enrollment ID: O20050711000111

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. Carlos A 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
Carlos A Diaz, DDS 1101 Camino La Costa, Austin, TX 78752-3930 Ph: (512) 478-4939	Carlos A Diaz, DDS 1101 Camino La Costa, Austin, TX 78752-3930 Ph: (512) 478-4939

Reviews and Comments

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Carlos A Diaz, DDS - Medicare Dentist in Austin, TX