Ilitch Diaz Gutierrez, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Maplewood, Minnesota. His current practice location is
1655 Beam Ave Ste 302, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 227-6351.
Ilitch Diaz Gutierrez is licensed to practice in Minnesota (license number 63088) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629209366.
Physician's Profile
| Full Name | Ilitch Diaz Gutierrez |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1655 Beam Ave Ste 302, Maplewood, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ilitch Diaz Gutierrez attended and graduated from in
NPI Data:
- NPI Number: 1629209366
- Provider Enumeration Date: 07/29/2009
- Last Update Date: 08/30/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ilitch Diaz Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629209366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | RS2009-0378 (New Mexico) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 63088 (Minnesota) | Primary |
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. Ilitch Diaz Gutierrez 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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Ilitch Diaz Gutierrez, MD
3144 Chowen Ave S, Apt 219b,
Minneapolis, MN 55416-5398
Ph: (505) 818-7180 | Ilitch Diaz Gutierrez, MD
1655 Beam Ave Ste 302,
Maplewood, MN 55109-1477
Ph: (651) 227-6351 |
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