Ms Teresa S Diez, CRNP in Harrisburg, PA - Medicare Nurse Practitioner

Ms Teresa S Diez, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Harrisburg, Pennsylvania. Her current practice location is 2501 N 3rd St Fl 3, Harrisburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 782-4785.

Ms Teresa S Diez is licensed to practice in Pennsylvania (license number SP-001038B) 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 1750574414.

Contact Information

	Ms Teresa S Diez, CRNP
	2501 N 3rd St Fl 3, Harrisburg, PA 17110-1904
	(717) 782-4785
	(717) 782-6471

Map and Direction

Provider's Profile

Full Name	Ms Teresa S Diez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2501 N 3rd St Fl 3, Harrisburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750574414
Provider Enumeration Date: 08/24/2007
Last Update Date: 12/12/2020

Medicare PECOS Information:

PECOS PAC ID: 7618031592
Enrollment ID: I20090122000222

Medical Identifiers

Medical identifiers for Ms Teresa S Diez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750574414	NPI	-	NPPES
102734116	Medicaid	PA
2071176	Other	PA	HIGHMARK BLUE SHIELD-WMG
968826	Other	MD	CAREFIRST MD BCBS-WMG

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP-001038B (Pennsylvania)	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. Ms Teresa S Diez allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Health Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180

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. Ms Teresa S Diez 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
Ms Teresa S Diez, CRNP 409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612 Ph: () -	Ms Teresa S Diez, CRNP 2501 N 3rd St Fl 3, Harrisburg, PA 17110-1904 Ph: (717) 782-4785

Reviews and Comments

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Ms Teresa S Diez, CRNP - Medicare Nurse Practitioner in Harrisburg, PA