Dr Susan Miquela Diaz, PH D is a medicare enrolled "Psychologist" provider in Utica, New York. She graduated from healthcare school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Faxton-st Lukes Healthcare and her current practice location is
1676 Sunset Ave Fl 3, Utica, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 360-0527.
Dr Susan Miquela Diaz is licensed to practice in New York (license number 016342-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346354891.
Healthcare Provider's Profile
| Full Name | Dr Susan Miquela Diaz |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 1676 Sunset Ave Fl 3, Utica, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Susan Miquela Diaz graduated from medical school in 1999
NPI Data:
- NPI Number: 1346354891
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 05/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466551056
- Enrollment ID: I20070703000480
Medical Identifiers
Medical identifiers for Dr Susan Miquela Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346354891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 016342 (New York) | Secondary |
| 103T00000X | Psychologist | 016342-1 (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. Dr Susan Miquela Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Faxton-st Lukes Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770690737
PECOS PAC ID: 2769380252
Enrollment ID: O20031222000433 |
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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 Susan Miquela 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 |
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Dr Susan Miquela Diaz, PH D
185 Main St,
Jordanville, NY 13361-2729
Ph: (315) 360-0527 | Dr Susan Miquela Diaz, PH D
1676 Sunset Ave Fl 3,
Utica, NY 13502-5416
Ph: (315) 360-0527 |
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