Jennifer Marie Diaz, MD is a medicare enrolled "Allergy & Immunology" physician in Port Jefferson Station, New York. She went to New York Medical College and graduated in 2007 and has 17 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Ent And Allergy Associates Llp and her current practice location is
1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 828-7001.
Jennifer Marie Diaz is licensed to practice in New York (license number 251188) 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 1053636431.
Physician's Profile
| Full Name | Jennifer Marie Diaz |
|---|
| Gender | Female |
|---|
| Speciality | Allergy/immunology |
|---|
| Experience | 17 Years |
|---|
| Location | 1500 Route 112, Port Jefferson Station, New York |
|---|
| 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:
- Jennifer Marie Diaz attended and graduated from New York Medical College in 2007
NPI Data:
- NPI Number: 1053636431
- Provider Enumeration Date: 03/29/2010
- Last Update Date: 04/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951527464
- Enrollment ID: I20140718000687
Medical Identifiers
Medical identifiers for Jennifer Marie Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053636431 | NPI | - | NPPES |
| P01438980 | Other | NY | RAILROAD MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 2511881 (New York) | Secondary |
| 207K00000X | Allergy & Immunology | 251188 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ent And Allergy Associates Llp | 0749193662 | 365 |
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. Jennifer Marie Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Ent And Allergy Associates Llp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376598326
PECOS PAC ID: 0749193662
Enrollment ID: O20031107000043 |
|---|
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. Jennifer Marie 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 |
|---|
Jennifer Marie Diaz, MD
660 White Plains Rd Fl 4,
Tarrytown, NY 10591-5139
Ph: (914) 984-2546 | Jennifer Marie Diaz, MD
1500 Route 112, Bldg. 4 - 2nd Floor,
Port Jefferson Station, NY 11776-8054
Ph: (631) 828-7001 |
Reviews and Comments