Kaitlyn Nicole Diaz, PA-C is a medicare enrolled "Physician Assistant" physician in San Antonio, Texas. Her current practice location is
2424 Babcock Rd Ste 301, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 538-7678.
Kaitlyn Nicole Diaz is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154184943.
Physician's Profile
Full Name | Kaitlyn Nicole Diaz |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2424 Babcock Rd Ste 301, San Antonio, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154184943
- Provider Enumeration Date: 02/05/2024
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062858939
- Enrollment ID: I20240313004184
Medical Identifiers
Medical identifiers for Kaitlyn Nicole Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154184943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | PA17611 (Texas) | Secondary |
363AM0700X | Physician Assistant - Medical | 17611 (Texas) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Kaitlyn Nicole 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 |
Kaitlyn Nicole Diaz, PA-C 2424 Babcock Rd Ste 301, San Antonio, TX 78229-6031 Ph: () - | Kaitlyn Nicole Diaz, PA-C 2424 Babcock Rd Ste 301, San Antonio, TX 78229-6031 Ph: (210) 538-7678 |
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