Glenda Laverne Diaz, FNP in Thomasville, GA - Medicare Nurse Practitioner

Glenda Laverne Diaz, FNP is a medicare enrolled "Nurse Practitioner - Family" in Thomasville, Georgia. Her current practice location is 41 Spring Bok Ln, Thomasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 224-4793.

Glenda Laverne Diaz is licensed to practice in Florida (license number APRN11002023) 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 1932670247.

Contact Information

	Glenda Laverne Diaz, FNP
	41 Spring Bok Ln, Thomasville, GA 31792-0691
	(229) 224-4793
	Not Available

Map and Direction

Provider's Profile

Full Name	Glenda Laverne Diaz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	41 Spring Bok Ln, Thomasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932670247
Provider Enumeration Date: 12/12/2018
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 2668706938
Enrollment ID: I20190620003033

Medical Identifiers

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

Identifier	Type	State	Issuer
1932670247	NPI	-	NPPES
RN155906	Other	GA	NEW GRADUATED FAMILYNURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN155906 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11002023 (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. Glenda Laverne Diaz allows following entities to bill medicare on her behalf.

Entity Name	Patients First Lake Ella Medical Center P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164524039 PECOS PAC ID: 4082760566 Enrollment ID: O20090924000578

Entity Name	Wound Technology Network, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626

Entity Name	Ready Med Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467079095 PECOS PAC ID: 3476972985 Enrollment ID: O20201002001094

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. Glenda Laverne 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
Glenda Laverne Diaz, FNP 41 Spring Bok Ln, Thomasville, GA 31792-0691 Ph: (229) 224-4793	Glenda Laverne Diaz, FNP 41 Spring Bok Ln, Thomasville, GA 31792-0691 Ph: (229) 224-4793

Reviews and Comments

Nurse Practitioner Nurses in Thomasville, GA

Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120
Cecilie Cowie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195
Sarah Baggett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Gordon Ave, Thomasville, GA 31792 Phone: 229-551-8600

Glenda Laverne Diaz, FNP - Medicare Nurse Practitioner in Thomasville, GA