John Joseph Corrales-diaz, MD in Poulsbo, WA

John Joseph Corrales-diaz, MD is a medicare enrolled "Pediatrics" physician in Poulsbo, Washington. His current practice location is 19245 7th Ave Ne, Poulsbo, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 782-3500.

John Joseph Corrales-diaz is licensed to practice in Washington (license number MD00021573) 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 1013967512.

Contact Information

	John Joseph Corrales-diaz, MD
	19245 7th Ave Ne, Poulsbo, WA 98370-6551
	(360) 782-3500
	(360) 782-3540

Map and Direction

Physician's Profile

Full Name	John Joseph Corrales-diaz
Gender	Male
Speciality	Pediatrics
Location	19245 7th Ave Ne, Poulsbo, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013967512
Provider Enumeration Date: 05/12/2006
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2668362799
Enrollment ID: I20050412001096

Medical Identifiers

Medical identifiers for John Joseph Corrales-diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013967512	NPI	-	NPPES
CO7915	Other		REGENCE BLUE SHIELD
4586742	Other		AETNA
1000428	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00021573 (Washington)	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. John Joseph Corrales-diaz allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

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. John Joseph Corrales-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
John Joseph Corrales-diaz, MD 19245 7th Ave Ne, Poulsbo, WA 98370-6551 Ph: (360) 782-3500	John Joseph Corrales-diaz, MD 19245 7th Ave Ne, Poulsbo, WA 98370-6551 Ph: (360) 782-3500

Reviews and Comments

Pediatrics Doctors in Poulsbo, WA

Dr. Katie Ellgass, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22180 Olympic College Way Nw, Poulsbo, WA 98370 Phone: 360-626-4031
Lindzey Faust, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3501 Fax: 360-782-3540
Dr. Emily Cecile Macdonald, DO, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22180 Olympic College Way Nw, Suite 203, Sound Pediatrics, Poulsbo, WA 98370 Phone: 360-626-4031 Fax: 360-626-4037
Bradley Troy Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3500 Fax: 360-782-3540
Dr. Violeta Mercedes Gomez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19540 Front St Ne, Poulsbo, WA 98370 Phone: 564-218-6135
Wendy Zeeben Hawley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20730 Bond Rd Ne, #208, Poulsbo, WA 98370 Phone: 360-779-7337 Fax: 360-779-7054

John Joseph Corrales-diaz, MD - Medicare Pediatrics in Poulsbo, WA