Dr Jessica Lynn Diab, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. Her current practice location is
1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 337-4400.
Dr Jessica Lynn Diab is licensed to practice in Michigan (license number 4301085513) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639372006.
Physician's Profile
Full Name | Dr Jessica Lynn Diab |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 Oakland Dr, Kalamazoo, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639372006
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4981793734
- Enrollment ID: I20081107000267
Medical Identifiers
Medical identifiers for Dr Jessica Lynn Diab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639372006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4301085513 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 4301085513 (Michigan) | 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 Jessica Lynn Diab allows following entities to bill medicare on her behalf.
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
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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 Jessica Lynn Diab 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 Jessica Lynn Diab, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 | Dr Jessica Lynn Diab, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 |
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