Dr Diego De Jesus Gonzalez, MD in Hazleton, PA

Dr Diego De Jesus Gonzalez, MD is a medicare enrolled "Pediatrics" physician in Hazleton, Pennsylvania. His current practice location is 564 W Broad St, Hazleton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 884-4500.

Dr Diego De Jesus Gonzalez is licensed to practice in Pennsylvania (license number MD040959L) 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 1104816875.

Contact Information

	Dr Diego De Jesus Gonzalez, MD
	564 W Broad St, Hazleton, PA 18201-6108
	(484) 884-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Diego De Jesus Gonzalez
Gender	Male
Speciality	Pediatrics
Location	564 W Broad St, Hazleton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104816875
Provider Enumeration Date: 10/25/2005
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6103090303
Enrollment ID: I20220921002507

Medical Identifiers

Medical identifiers for Dr Diego De Jesus Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104816875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD040959L (Pennsylvania)	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 Diego De Jesus Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Health Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180

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 Diego De Jesus Gonzalez 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
Dr Diego De Jesus Gonzalez, MD 2100 Mack Blvd, Allentown, PA 18103-5622 Ph: (484) 884-4500	Dr Diego De Jesus Gonzalez, MD 564 W Broad St, Hazleton, PA 18201-6108 Ph: (484) 884-4500

Reviews and Comments

Pediatrics Doctors in Hazleton, PA

Bethany Anne Venit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 881 N Church St, Hazleton, PA 18201 Phone: 570-455-8557 Fax: 570-459-6832
Stephan R Glicken, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 564 W Broad St, Hazleton, PA 18201 Phone: 570-501-6400 Fax: 570-453-2353
Mr. Bassam Faiz Bittar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 564 W. Broad St., Hazleton, PA 18201 Phone: 570-501-6400 Fax: 570-453-2353
Dr. Graciela Catalina Bianco, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 426 Airport Road Ste 134, Beltway Commons, Hazleton, PA 18202 Phone: 570-501-7512 Fax: 570-501-7515
Dr. James Francis Caggiano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 564 W Broad St, Hazleton, PA 18201 Phone: 570-501-6400 Fax: 570-453-2353
Dr. Kailas D Dave, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 316 Goshen Avenue, Hazleton, PA 18201 Phone: 570-436-1635 Fax: 570-434-1635

Dr Diego De Jesus Gonzalez, MD - Medicare Pediatrics in Hazleton, PA