Benjamin John Diaczok I, MD in Southfield, MI

Benjamin John Diaczok I, MD is a medicare enrolled "Internal Medicine" physician in Southfield, Michigan. He went to Wayne State University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Iha Health Services Corporation, Iha Ooma Primary Llc and his current practice location is 22255 Greenfield Rd, 410, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 849-2850.

Benjamin John Diaczok I is licensed to practice in Michigan (license number 4301050499) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760480834.

Contact Information

	Benjamin John Diaczok I, MD
	22255 Greenfield Rd, 410, Southfield, MI 48075-3710
	(248) 849-2850
	(248) 849-5751

Map and Direction

Physician's Profile

Full Name	Benjamin John Diaczok I
Gender	Male
Speciality	Internal Medicine
Experience	39 Years
Location	22255 Greenfield Rd, Southfield, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin John Diaczok I attended and graduated from Wayne State University School Of Medicine in 1985

NPI Data:

NPI Number: 1760480834
Provider Enumeration Date: 07/12/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1355350463
Enrollment ID: I20060419000023

Medical Identifiers

Medical identifiers for Benjamin John Diaczok I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760480834	NPI	-	NPPES
4301050499	Other	MI	CONTROLLED SUBSTANCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301050499 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Mercy Home Care, Ann Arbor	Farmington hills, MI	Home health agency
St Joseph Mercy Oakland	Pontiac, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Health Services Corporation	2466351440	945
Iha Ooma Primary Llc	7012316664	34

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. Benjamin John Diaczok I allows following entities to bill medicare on his behalf.

Entity Name	Iha Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355

Entity Name	The Wellness Plan Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043373244 PECOS PAC ID: 1052380201 Enrollment ID: O20040925000098

Entity Name	Iha Ooma Primary Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245815984 PECOS PAC ID: 7012316664 Enrollment ID: O20210601002563

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. Benjamin John Diaczok I 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
Benjamin John Diaczok I, MD 25925 Telegraph Rd, 210, Southfield, MI 48034-2518 Ph: (248) 746-0342	Benjamin John Diaczok I, MD 22255 Greenfield Rd, 410, Southfield, MI 48075-3710 Ph: (248) 849-2850

Reviews and Comments

Internal Medicine Doctors in Southfield, MI

Surinder Mendiratta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891
Dr. Freddy R Sosa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439
Kun Kil Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031
Dr. Vilma Drelichman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286
Dr. Sumner Camisa, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936
Talal Taher Khader, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483
Dr. Herman Kado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034 Phone: 248-587-2300 Fax: 248-945-0492

Benjamin John Diaczok I, MD - Medicare Internal Medicine in Southfield, MI