Betsy Diaz, FNP-C is a medicare enrolled "Nurse Practitioner" in Shellman, Georgia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rural Urgent Care Llc, Rural Urgent Care Llc and her current practice location is
67 W Railroad St, Shellman, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 679-2100.
Betsy Diaz is licensed to practice in Georgia (license number RN133959) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104356302.
Provider's Profile
| Full Name | Betsy Diaz |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 67 W Railroad St, Shellman, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Betsy Diaz graduated from nursing school in 2017
NPI Data:
- NPI Number: 1104356302
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 01/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739446238
- Enrollment ID: I20171207001824
Medical Identifiers
Medical identifiers for Betsy Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104356302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN133959 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rural Urgent Care Llc | 8820305600 | 112 |
| Rural Urgent Care Llc | 8820305600 | 112 |
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. Betsy Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Phoebe Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583 |
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| Entity Name | Rural Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20201029003001 |
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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. Betsy 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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Betsy Diaz, FNP-C
1500 1st Ave N, Unit 3,
Birmingham, AL 35203-1866
Ph: (205) 545-5088 | Betsy Diaz, FNP-C
67 W Railroad St,
Shellman, GA 39886-3100
Ph: (229) 679-2100 |
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