Dr Diana M Addis, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Sparta, New Jersey. She went to Rutgers New Jersey Medical School and graduated in 1996 and has 28 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Summit Medical Group Pa and her current practice location is
89 Sparta Ave, Suite 210, Sparta, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 918-0001.
Dr Diana M Addis is licensed to practice in New Jersey (license number 25MA07065800) 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 1235241597.
Physician's Profile
| Full Name | Dr Diana M Addis |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 28 Years |
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| Location | 89 Sparta Ave, Sparta, New Jersey |
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| Accepts Medicare Assignments | Yes. She 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 Diana M Addis attended and graduated from Rutgers New Jersey Medical School in 1996
NPI Data:
- NPI Number: 1235241597
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 7517996085
- Enrollment ID: I20050831000122
Medical Identifiers
Medical identifiers for Dr Diana M Addis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235241597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 25MA07065800 (New Jersey) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | 25MA07065800 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group Pa | 5395642276 | 1247 |
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 Diana M Addis allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011 |
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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 Diana M Addis 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 Diana M Addis, MD
98 Ford Rd, Suite 3-h,
Denville, NJ 07834-1374
Ph: (973) 625-3366 | Dr Diana M Addis, MD
89 Sparta Ave, Suite 210,
Sparta, NJ 07871-1777
Ph: (908) 918-0001 |
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