Alisha Diane Diaz, is a medicare enrolled "Allergy & Immunology" in Southlake, Texas. Her current practice location is
900 E Southlake Blvd Ste 300, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 421-0770.
Alisha Diane Diaz is licensed to practice in Texas (license number PA13170) 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 1609411222.
Provider's Profile
Full Name | Alisha Diane Diaz |
---|
Gender | Female |
---|
Speciality | Allergy & Immunology |
---|
Location | 900 E Southlake Blvd Ste 300, Southlake, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609411222
- Provider Enumeration Date: 11/07/2019
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800221417
- Enrollment ID: I20200108001490
Medical Identifiers
Medical identifiers for Alisha Diane Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609411222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA13170 (Texas) | Secondary |
207K00000X | Allergy & Immunology | PA13170 (Texas) | 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. Alisha Diane 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 |
Alisha Diane Diaz, 7777 Royal Ln, Dallas, TX 75230-3711 Ph: (210) 867-3253 | Alisha Diane Diaz, 900 E Southlake Blvd Ste 300, Southlake, TX 76092-6376 Ph: (817) 421-0770 |
Reviews and Comments