Mr Mark Diaz Iii, PA-C in Madison, WI - Medicare Physician Assistant

Mr Mark Diaz Iii, PA-C is a medicare enrolled "Physician Assistant" in Madison, Wisconsin. His current practice location is 77 S Oakbridge Ct Apt 105, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (562) 659-3459.

Mr Mark Diaz Iii is licensed to practice in Wisconsin (license number 4404-23) 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 1700370020.

Contact Information

	Mr Mark Diaz Iii, PA-C
	77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030
	(562) 659-3459
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mark Diaz Iii
Gender	Male
Speciality	Physician Assistant
Location	77 S Oakbridge Ct Apt 105, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700370020
Provider Enumeration Date: 06/20/2018
Last Update Date: 06/20/2018

Medicare PECOS Information:

PECOS PAC ID: 2860730470
Enrollment ID: I20190206001715

Medical Identifiers

Medical identifiers for Mr Mark Diaz Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700370020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4404-23 (Wisconsin)	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. Mr Mark Diaz Iii 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
Mr Mark Diaz Iii, PA-C 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 Ph: () -	Mr Mark Diaz Iii, PA-C 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 Ph: (562) 659-3459

Reviews and Comments

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Mr Mark Diaz Iii, PA-C - Medicare Physician Assistant in Madison, WI