Derek Diaz, NP in Ontario, CA - Medicare Nurse Practitioner

Derek Diaz, NP is a medicare enrolled "Nurse Practitioner" in Ontario, California. His current practice location is 2821 S Cascades Trl, Ontario, California. You can reach out to his office (for appointments etc.) via phone at (909) 732-0197.

Derek Diaz is licensed to practice in California (license number 95021897) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831811157.

Contact Information

	Derek Diaz, NP
	2821 S Cascades Trl, Ontario, CA 91761-7234
	(909) 732-0197
	Not Available

Map and Direction

Provider's Profile

Full Name	Derek Diaz
Gender	Male
Speciality	Nurse Practitioner
Location	2821 S Cascades Trl, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831811157
Provider Enumeration Date: 09/13/2022
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7810366796
Enrollment ID: I20221215002537

Medical Identifiers

Medical identifiers for Derek Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831811157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95021897 (California)	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. Derek Diaz allows following entities to bill medicare on his behalf.

Entity Name	Michael Decker Do, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528410842 PECOS PAC ID: 9830481746 Enrollment ID: O20160714000122

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. Derek 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
Derek Diaz, NP 2821 S Cascades Trl, Ontario, CA 91761-7234 Ph: (909) 732-0197	Derek Diaz, NP 2821 S Cascades Trl, Ontario, CA 91761-7234 Ph: (909) 732-0197

Reviews and Comments

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Derek Diaz, NP - Medicare Nurse Practitioner in Ontario, CA