Dr Elisamuel Martinez Diaz, in Bronx, NY - Medicare Psychologist Provider

Dr Elisamuel Martinez Diaz, is a medicare enrolled "Psychologist - Clinical" provider in Bronx, New York. His current practice location is 1065 Southern Blvd, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 589-2440.

Dr Elisamuel Martinez Diaz is licensed to practice in New York (license number 024087) 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 1033173745.

Contact Information

	Dr Elisamuel Martinez Diaz,
	1065 Southern Blvd, Bronx, NY 10459-2417
	(718) 589-2440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elisamuel Martinez Diaz
Gender	Male
Speciality	Psychologist - Clinical
Location	1065 Southern Blvd, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033173745
Provider Enumeration Date: 04/12/2006
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 4486720166
Enrollment ID: I20210108002352

Medical Identifiers

Medical identifiers for Dr Elisamuel Martinez Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033173745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	024087 (New York)	Primary
103TC0700X	Psychologist - Clinical	2559 (Puerto Rico)	Secondary

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. Dr Elisamuel Martinez Diaz allows following entities to bill medicare on his behalf.

Entity Name	Integrated Family Health Np & Psychology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093336703 PECOS PAC ID: 7315369659 Enrollment ID: O20200615003291

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. Dr Elisamuel Martinez 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
Dr Elisamuel Martinez Diaz, 425 E 154th St Apt 3a, Bronx, NY 10455-1299 Ph: (787) 396-0975	Dr Elisamuel Martinez Diaz, 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440

Reviews and Comments

Psychologist in Bronx, NY

Dr. Steven Barbash, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2600 Netherland Ave, Suite 116, Bronx, NY 10463 Phone: 718-601-9161
Dr. Jeremy Silverman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468 Phone: 718-584-9000
Dr. Joseph Lynch, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 420 W 255th St, Bronx, NY 10471 Phone: 917-576-7824
Marian Gail Silverman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1731 Seminole Ave, Bronx, NY 10461 Phone: 718-430-8900 Fax: 718-892-4736
Dr. David Junowitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Sheridan Avenue, Bronx, NY 10451 Phone: 718-590-3416
Alan Supraner, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Netherland Ave, 108, Bronx, NY 10463 Phone: 718-601-7227
Mrs. Zulai Munoz Montoya, M.S ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2866 Marion Ave Apt 1b, Bronx, NY 10458 Phone: 646-591-0884

Dr Elisamuel Martinez Diaz, - Medicare Psychologist in Bronx, NY