Dr Leonora Diaz, MD is a medicare enrolled "General Practice" physician in Kentwood, Michigan. Her current practice location is
4695 Quaker Hill Dr Se, Kentwood, Michigan. You can reach out to her office (for appointments etc.) via phone at
(787) 565-3917.
Dr Leonora Diaz is licensed to practice in Michigan (license number 4301067020) 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 1033150230.
Physician's Profile
Full Name | Dr Leonora Diaz |
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Gender | Female |
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Speciality | General Practice |
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Location | 4695 Quaker Hill Dr Se, Kentwood, 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: 1033150230
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961742275
- Enrollment ID: I20190325001042
Medical Identifiers
Medical identifiers for Dr Leonora Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033150230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 6136 (Puerto Rico) | Secondary |
208D00000X | General Practice | 4301067020 (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 Leonora Diaz allows following entities to bill medicare on her behalf.
Entity Name | American Current Care Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659562262 PECOS PAC ID: 5799886313 Enrollment ID: O20070726000695 |
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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 Leonora 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 |
Dr Leonora Diaz, MD 4695 Quaker Hill Dr Se, Kentwood, MI 49512-8412 Ph: (787) 565-3917 | Dr Leonora Diaz, MD 4695 Quaker Hill Dr Se, Kentwood, MI 49512-8412 Ph: (787) 565-3917 |
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