Dr Sebastian Cambo Diaz, PSYD in Surprise, AZ - Medicare Psychologist Provider

Dr Sebastian Cambo Diaz, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Surprise, Arizona. His current practice location is 14155 W Mountain View Blvd Apt 1049, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (787) 453-6950.

Dr Sebastian Cambo Diaz is licensed to practice in Arizona (license number 005574) 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 1881146728.

Contact Information

	Dr Sebastian Cambo Diaz, PSYD
	14155 W Mountain View Blvd Apt 1049, Surprise, AZ 85374-4831
	(787) 453-6950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sebastian Cambo Diaz
Gender	Male
Speciality	Psychologist - Clinical
Location	14155 W Mountain View Blvd Apt 1049, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881146728
Provider Enumeration Date: 10/26/2016
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7416370580
Enrollment ID: I20240223004203

Medical Identifiers

Medical identifiers for Dr Sebastian Cambo Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881146728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	5647 (Puerto Rico)	Secondary
103TC0700X	Psychologist - Clinical	005574 (Arizona)	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. Dr Sebastian Cambo Diaz allows following entities to bill medicare on his behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20230709000038

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 Sebastian Cambo 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 Sebastian Cambo Diaz, PSYD 14155 W Mountain View Blvd Apt 1049, Surprise, AZ 85374-4831 Ph: (787) 453-6950	Dr Sebastian Cambo Diaz, PSYD 14155 W Mountain View Blvd Apt 1049, Surprise, AZ 85374-4831 Ph: (787) 453-6950

Reviews and Comments

Psychologist in Surprise, AZ

James A Leroy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12425 W Bell Rd, Suite 200, Surprise, AZ 85378 Phone: 623-374-7774 Fax: 623-240-1110
Jennifer Hargrave, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7022
Mrs. Marni Marie Lahti, MA, MSE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022
Dr. Alicja Stewart, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774
Ms. Lauren Heather Richins, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7000
Dr. Mary Kay Cragan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16913 W Dale Ln, Surprise, AZ 85387 Phone: 623-584-8392
Dr. Sherrie Lee Somershoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13985 W Grand Ave, Surprise, AZ 85374 Phone: 623-340-4249

Dr Sebastian Cambo Diaz, PSYD - Medicare Psychologist in Surprise, AZ