Diane J Lai, MD - Medicare Pediatrics in Spartanburg, SC

Diane J Lai, MD is a medicare enrolled "Pediatrics" physician in Spartanburg, South Carolina. Her current practice location is 249 N Grove Medical Park Dr Ste 100, Spartanburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 582-8135.

Diane J Lai is licensed to practice in South Carolina (license number 88230) 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 1427619121.

Contact Information

Diane J Lai, MD
249 N Grove Medical Park Dr Ste 100,
Spartanburg, SC 29303-4227
(864) 582-8135
(864) 573-9757

Map and Direction




Physician's Profile

Full NameDiane J Lai
GenderFemale
SpecialityPediatrics
Location249 N Grove Medical Park Dr Ste 100, Spartanburg, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427619121
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 08/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163854019
  • Enrollment ID: I20220907002727

Medical Identifiers

Medical identifiers for Diane J Lai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427619121NPI-NPPES
PENDINGMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics LL82583 (South Carolina)Secondary
208000000XPediatrics 88230 (South Carolina)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. Diane J Lai allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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. Diane J Lai 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
Diane J Lai, MD
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603
Diane J Lai, MD
249 N Grove Medical Park Dr Ste 100,
Spartanburg, SC 29303-4227

Ph: (864) 582-8135

Reviews and Comments


Pediatrics Doctors in Spartanburg, SC

Dr. Marcia L Parra, MD
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Mrs. Donna P Smith, MD
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Everett Lee Belvin Ii, MD
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Ernest N Mistr, MD
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Mrs. Alanna Ahlers Nutz, M.D.
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Christine Hidalgo Philpott, M.D.
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Practice Location: 201 E Broad St, Spartanburg, SC 29306
Phone: 864-707-2135    Fax: 864-707-2136
George Chester Glenn Iii, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307
Phone: 864-582-8135    Fax: 864-573-9757

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.