Thomas Diacovo, is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in New Yor, New York. His current practice location is
Columbia University Department Pediatrics, 3959 Broadway, New Yor, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 927-3214.
Thomas Diacovo is licensed to practice in New York (license number 234308) 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 1942274709.
Physician's Profile
| Full Name | Thomas Diacovo |
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| Gender | Male |
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| Speciality | Pediatrics - Neonatal-perinatal Medicine |
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| Location | Columbia University Department Pediatrics, New Yor, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942274709
- Provider Enumeration Date: 02/16/2006
- Last Update Date: 05/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628024296
- Enrollment ID: I20050326000036
Medical Identifiers
Medical identifiers for Thomas Diacovo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942274709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 234308 (New York) | 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. Thomas Diacovo allows following entities to bill medicare on his behalf.
| Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083660575
PECOS PAC ID: 8921993551
Enrollment ID: O20040220000822 |
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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. Thomas Diacovo 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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Thomas Diacovo,
83 Willow Ave,
Larchmont, NY 10538-3518
Ph: () - | Thomas Diacovo,
Columbia University Department Pediatrics, 3959 Broadway,
New Yor, NY 10032
Ph: (212) 927-3214 |
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