Dr Calixto Jose Cornavaca Diaz, MD is a medicare enrolled "General Practice" physician in Buford, Georgia. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as General Practice. His current practice location is
578 S Enota Dr Ne, Ste C, Buford, Georgia. You can reach out to his office (for appointments etc.) via phone at
(423) 619-8381.
Dr Calixto Jose Cornavaca Diaz is licensed to practice in Georgia (license number 74951) 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 1326381625.
Physician's Profile
| Full Name | Dr Calixto Jose Cornavaca Diaz |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 18 Years |
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| Location | 578 S Enota Dr Ne, Buford, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Calixto Jose Cornavaca Diaz graduated from medical school in 2006
NPI Data:
- NPI Number: 1326381625
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 7517100803
- Enrollment ID: I20181120000668
Medical Identifiers
Medical identifiers for Dr Calixto Jose Cornavaca Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326381625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 74951 (Georgia) | 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. Dr Calixto Jose Cornavaca Diaz allows following entities to bill medicare on his behalf.
| Entity Name | Calixto J Cornavaca Diaz Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487140349
PECOS PAC ID: 2961756432
Enrollment ID: O20181120000757 |
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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. Dr Calixto Jose Cornavaca 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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Dr Calixto Jose Cornavaca Diaz, MD
578 S Enota Dr Ne Ste C,
Gainesville, GA 30501-8947
Ph: (470) 892-6607 | Dr Calixto Jose Cornavaca Diaz, MD
578 S Enota Dr Ne, Ste C,
Buford, GA 30519-4392
Ph: (423) 619-8381 |
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