Boris D Diez, APRN is a medicare enrolled "Family Medicine" physician in Sweetwater, Florida. His current practice location is
1414 Nw 107th Ave Ste 205, Sweetwater, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 253-9513.
Boris D Diez is licensed to practice in Florida (license number APRN11000018) 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 1861969883.
Physician's Profile
| Full Name | Boris D Diez |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1414 Nw 107th Ave Ste 205, Sweetwater, Florida |
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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: 1861969883
- Provider Enumeration Date: 10/29/2018
- Last Update Date: 12/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860726759
- Enrollment ID: I20190626003155
Medical Identifiers
Medical identifiers for Boris D Diez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861969883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN11000018 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APRN11000018 (Florida) | Secondary |
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. Boris D Diez allows following entities to bill medicare on his behalf.
| Entity Name | Diez Medical Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1407444730
PECOS PAC ID: 0941609218
Enrollment ID: O20210519001532 |
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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. Boris D Diez 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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Boris D Diez, APRN
16881 Sw 278th St,
Homestead, FL 33031-2745
Ph: (786) 253-9513 | Boris D Diez, APRN
1414 Nw 107th Ave Ste 205,
Sweetwater, FL 33172-2741
Ph: (786) 253-9513 |
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