Erica Diaz, in Mary Esther, FL - Medicare Nurse Practitioner

Erica Diaz, is a medicare enrolled "Nurse Practitioner - Family" in Mary Esther, Florida. Her current practice location is 71 Mary Esther Blvd, Mary Esther, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 301-0677.

Erica Diaz is licensed to practice in Florida (license number 11027957) 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 1023755089.

Contact Information

	Erica Diaz,
	71 Mary Esther Blvd, Mary Esther, FL 32569-1967
	(850) 301-0677
	Not Available

Map and Direction

Provider's Profile

Full Name	Erica Diaz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	71 Mary Esther Blvd, Mary Esther, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023755089
Provider Enumeration Date: 05/19/2022
Last Update Date: 09/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8123402732
Enrollment ID: I20220831001792

Medical Identifiers

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

Identifier	Type	State	Issuer
1023755089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209025195 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	11027957 (Florida)	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. Erica Diaz allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607

Entity Name	Minuteclinic Video Virtual Care North Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518512227 PECOS PAC ID: 1254762297 Enrollment ID: O20200620000026

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. Erica 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
Erica Diaz, 71 Mary Esther Blvd, Mary Esther, FL 32569-1967 Ph: (850) 301-0677	Erica Diaz, 71 Mary Esther Blvd, Mary Esther, FL 32569-1967 Ph: (850) 301-0677

Reviews and Comments

Nurse Practitioner Nurses in Mary Esther, FL

Mrs. Angela Maria Champion, FP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Mary Esther Blvd, Mary Esther, FL 32569 Phone: 850-301-0677
Dr. Kameko Hazley Mcguire, DNP, PMHNP-BC, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569 Phone: 850-226-8096
Jarrett Scully, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 71 Mary Esther Blvd, Mary Esther, FL 32569 Phone: 850-776-3874
Elizabeth Ann Hutchinson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 Phone: 850-374-3747 Fax: 850-374-3281
Tracy Elizabeth Carroll, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 71 Mary Esther Blvd, Mary Esther, FL 32569 Phone: 850-301-0677
Dr. Dennelle Lynn Parker, FNP-BC, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 71 Mary Esther Blvd, Mary Esther, FL 32569 Phone: 850-301-0677

Erica Diaz, - Medicare Nurse Practitioner in Mary Esther, FL