Lizete Diaz, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Glendale, Arizona. Her current practice location is
6677 W Thunderbird Rd Ste I164, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 878-2100.
Lizete Diaz is licensed to practice in Arizona (license number 220014) 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 1598341877.
Physician's Profile
| Full Name | Lizete Diaz |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 6677 W Thunderbird Rd Ste I164, Glendale, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598341877
- Provider Enumeration Date: 03/18/2021
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406255504
- Enrollment ID: I20210521001773
Medical Identifiers
Medical identifiers for Lizete Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598341877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 220014 (Arizona) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 220014 (Arizona) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 220014 (Arizona) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 220014 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 220014 (Arizona) | 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. Lizete Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Satinder S Purewal Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528128311
PECOS PAC ID: 6507814191
Enrollment ID: O20050111000145 |
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| Entity Name | Advanced Minimally Invasive Surgical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295056919
PECOS PAC ID: 4183758527
Enrollment ID: O20100819001272 |
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| Entity Name | Mind 247 Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902472467
PECOS PAC ID: 6406253541
Enrollment ID: O20210916001566 |
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| Entity Name | Obl |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508430661
PECOS PAC ID: 0345605523
Enrollment ID: O20230421000745 |
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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. Lizete 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 |
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Lizete Diaz, PMHNP
11968 W Rio Vista Ln,
Avondale, AZ 85323-7726
Ph: (505) 948-6647 | Lizete Diaz, PMHNP
6677 W Thunderbird Rd Ste I164,
Glendale, AZ 85306-3762
Ph: (623) 878-2100 |
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