Lorena D Diaz-rodriguez, NP in Berkeley, CA - Medicare Nurse Practitioner

Lorena D Diaz-rodriguez, NP is a medicare enrolled "Nurse Practitioner - Family" in Berkeley, California. Her current practice location is 1451 Shattuck Ave, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (415) 664-1834.

Lorena D Diaz-rodriguez is licensed to practice in California (license number 95011003) 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 1649869389.

Contact Information

	Lorena D Diaz-rodriguez, NP
	1451 Shattuck Ave, Berkeley, CA 94709-1410
	(415) 664-1834
	Not Available

Map and Direction

Provider's Profile

Full Name	Lorena D Diaz-rodriguez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1451 Shattuck Ave, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649869389
Provider Enumeration Date: 01/17/2021
Last Update Date: 10/07/2021

Medicare PECOS Information:

PECOS PAC ID: 6103235940
Enrollment ID: I20210507002331

Medical Identifiers

Medical identifiers for Lorena D Diaz-rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649869389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011003 (California)	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. Lorena D Diaz-rodriguez allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

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. Lorena D Diaz-rodriguez 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
Lorena D Diaz-rodriguez, NP 1451 Shattuck Ave, Berkeley, CA 94709-1410 Ph: (415) 664-1834	Lorena D Diaz-rodriguez, NP 1451 Shattuck Ave, Berkeley, CA 94709-1410 Ph: (415) 664-1834

Reviews and Comments

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Lorena D Diaz-rodriguez, NP - Medicare Nurse Practitioner in Berkeley, CA