Nicole Theresa Diaz, CPNP - Medicare Nurse Practitioner in New Hyde Park, NY

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Nicole Theresa Diaz, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in New Hyde Park, New York. Her current practice location is 26901 76th Ave, Room 173, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at (718) 470-3937.

Nicole Theresa Diaz is licensed to practice in New York (license number 38 382016) 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 1962640961.

Contact Information

Nicole Theresa Diaz, CPNP
26901 76th Ave, Room 173,
New Hyde Park, NY 11040-1433
(718) 470-3937
Not Available

Map and Direction




Provider's Profile

Full NameNicole Theresa Diaz
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location26901 76th Ave, New Hyde Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962640961
  • Provider Enumeration Date: 01/29/2009
  • Last Update Date: 04/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8527242049
  • Enrollment ID: I20150930001408

Medical Identifiers

Medical identifiers for Nicole Theresa Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962640961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 22 543334 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics 38 382016 (New York)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. Nicole Theresa Diaz allows following entities to bill medicare on her behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameNorth Shore - Lij Pediatrics Of Suffolk County, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255722161
PECOS PAC ID: 6406151919
Enrollment ID: O20160222001466

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. Nicole Theresa 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 AddressPractice Location Address
Nicole Theresa Diaz, CPNP
26901 76th Ave, Room 173,
New Hyde Park, NY 11040-1433

Ph: (718) 470-3937		Nicole Theresa Diaz, CPNP
26901 76th Ave, Room 173,
New Hyde Park, NY 11040-1433

Ph: (718) 470-3937

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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