Fatima Tahera Diaban, DO in Green Bay, WI - Medicare Critical Care (intensivists)

Fatima Tahera Diaban, DO is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Green Bay, Wisconsin. She went to Touro Un Col Of Osteopathic Medicine, New York and graduated in 2013 and has 11 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Baycare Aurora Llc and her current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 288-8000.

Fatima Tahera Diaban is licensed to practice in Wisconsin (license number 72292) 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 1336586098.

Contact Information

	Fatima Tahera Diaban, DO
	2845 Greenbrier Rd, Green Bay, WI 54311-6519
	(920) 288-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Fatima Tahera Diaban
Gender	Female
Speciality	Critical Care (intensivists)
Experience	11 Years
Location	2845 Greenbrier Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fatima Tahera Diaban attended and graduated from Touro Un Col Of Osteopathic Medicine, New York in 2013

NPI Data:

NPI Number: 1336586098
Provider Enumeration Date: 06/04/2013
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1254638778
Enrollment ID: I20201110001207

Medical Identifiers

Medical identifiers for Fatima Tahera Diaban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336586098	NPI	-	NPPES
100106465	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5101020612 (Michigan)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	72292 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Baycare Medical Ctr	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Aurora Llc	0244130557	175

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. Fatima Tahera Diaban allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Baycare Aurora Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579

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. Fatima Tahera Diaban 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
Fatima Tahera Diaban, DO Po Box 735044, Chicago, IL 60673-5044 Ph: () -	Fatima Tahera Diaban, DO 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8000

Reviews and Comments

Internal Medicine Doctors in Green Bay, WI

Amritha Chandrahasa Karkera, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Yaw D Berko, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Lee James Klemens, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Kevin L Mortara, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659
William T Witmer, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305
Jay Matthew Salmon, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100
Dr. Alay Mansurov, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659

Fatima Tahera Diaban, DO - Medicare Critical Care (intensivists) in Green Bay, WI