Levi A Diaz Menjivar, MD in Jacksonville, FL

Levi A Diaz Menjivar, MD is a medicare enrolled "Internal Medicine" physician in Jacksonville, Florida. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice The Providence Community Health Centers Inc. and his current practice location is 1201 Monument Rd Ste 200, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 727-5151.

Levi A Diaz Menjivar is licensed to practice in Florida (license number ME169645) 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 1063907780.

Contact Information

	Levi A Diaz Menjivar, MD
	1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428
	(904) 727-5151
	(904) 727-5180

Map and Direction

Physician's Profile

Full Name	Levi A Diaz Menjivar
Gender	Male
Speciality	Internal Medicine
Experience	9 Years
Location	1201 Monument Rd Ste 200, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Levi A Diaz Menjivar graduated from medical school in 2015

NPI Data:

NPI Number: 1063907780
Provider Enumeration Date: 06/25/2018
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0749685683
Enrollment ID: I20210816002950

Medical Identifiers

Medical identifiers for Levi A Diaz Menjivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063907780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD17791 (Rhode Island)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Florida)	Secondary
207R00000X	Internal Medicine	ME169645 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Providence Community Health Centers Inc.	9335050962	71

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. Levi A Diaz Menjivar allows following entities to bill medicare on his behalf.

Entity Name	The Providence Community Health Centers Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007

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. Levi A Diaz Menjivar 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
Levi A Diaz Menjivar, MD 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Levi A Diaz Menjivar, MD 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 Ph: (904) 727-5151

Reviews and Comments

Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Levi A Diaz Menjivar, MD - Medicare Internal Medicine in Jacksonville, FL