Diane M Kaplan, MD - Medicare Family Practice in Mount Vernon, WA

Diane M Kaplan, MD is a medicare enrolled "Family Medicine" physician in Mount Vernon, Washington. She went to University Of Washington School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sea-mar Community Health Center and her current practice location is 1400 N Laventure Rd, Mount Vernon, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 542-8900.

Diane M Kaplan is licensed to practice in Washington (license number MD00032582) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336291830.

Contact Information

Diane M Kaplan, MD
1400 N Laventure Rd,
Mount Vernon, WA 98273-2766
(360) 542-8900
(360) 542-8796

Map and Direction




Physician's Profile

Full NameDiane M Kaplan
GenderFemale
SpecialityFamily Practice
Experience38 Years
Location1400 N Laventure Rd, Mount Vernon, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Diane M Kaplan attended and graduated from University Of Washington School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1336291830
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597825166
  • Enrollment ID: I20081201000115

Medical Identifiers

Medical identifiers for Diane M Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336291830NPI-NPPES
1008106MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD00032582 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sea-mar Community Health Center7315831161173

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. Diane M Kaplan allows following entities to bill medicare on her behalf.
Entity NameSea-mar Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811051170
PECOS PAC ID: 7315831161
Enrollment ID: O20040211001210

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. Diane M Kaplan 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 AddressPractice Location Address
Diane M Kaplan, MD
Po Box 34703,
Seattle, WA 98124-1703

Ph: () -
Diane M Kaplan, MD
1400 N Laventure Rd,
Mount Vernon, WA 98273-2766

Ph: (360) 542-8900

Reviews and Comments


Family Medicine Doctors in Mount Vernon, WA

Dr. Cheryl Lynn Mcrill, M.D.
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Medicare: Medicare Enrolled
Practice Location: 307 S 13th St Ste 200, Mount Vernon, WA 98274
Phone: 360-848-8500    
Mr. Roger Paul Estep, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2116 East Section Street, Mount Vernon, WA 98274
Phone: 360-428-1700    Fax: 360-848-4350
Barbara J. Hahn, MD
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Medicare: Medicare Enrolled
Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274
Phone: 360-428-2500    Fax: 360-428-6485
Dr. Naomi S Hoyle, MD
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Medicare: Medicare Enrolled
Practice Location: 819 S 13th St, Mount Vernon, WA 98274
Phone: 360-814-6230    Fax: 360-814-6240
William Fred Stanley, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274
Phone: 360-428-2500    Fax: 360-428-6485
Dr. Anirban Das, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274
Phone: 360-428-6434    Fax: 360-848-4233
Rachel Marie Herrmann, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274
Phone: 360-428-2501    Fax: 360-428-2596

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.