Laura M Diaz, MD is a medicare enrolled "Pediatrics" physician in Fanwood, New Jersey. Her current practice location is
346 South Ave, Fanwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 889-8687.
Laura M Diaz is licensed to practice in New Jersey (license number 25MA10311600) 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 1720593288.
Physician's Profile
Full Name | Laura M Diaz |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 346 South Ave, Fanwood, New Jersey |
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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: 1720593288
- Provider Enumeration Date: 12/06/2017
- Last Update Date: 06/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971867169
- Enrollment ID: I20180516002280
Medical Identifiers
Medical identifiers for Laura M Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720593288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 25MA10311600 (New Jersey) | 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. Laura M Diaz allows following entities to bill medicare on her behalf.
Entity Name | Rutgers Health-rwj Pediatric Emergency Faculty |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346322732 PECOS PAC ID: 8820984693 Enrollment ID: O20040227000029 |
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Entity Name | Rutgers Health-rwj Pediatric Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518901768 PECOS PAC ID: 3779472196 Enrollment ID: O20041222000072 |
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Entity Name | Rutgers Health Rwj Primary Care Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497867410 PECOS PAC ID: 9032158761 Enrollment ID: O20050502000678 |
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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. Laura M 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 |
Laura M Diaz, MD 346 South Ave, Fanwood, NJ 07023-1373 Ph: (908) 889-8687 | Laura M Diaz, MD 346 South Ave, Fanwood, NJ 07023-1373 Ph: (908) 889-8687 |
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