Mr Victor Manuel Diaz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pearl Harbor, Hawaii. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Pec Anesthesia Llc and his current practice location is
480 Central Ave, Pearl Harbor, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 474-4242.
Mr Victor Manuel Diaz is licensed to practice in Virginia (license number 0024165994) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336139609.
Provider's Profile
| Full Name | Mr Victor Manuel Diaz |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | 480 Central Ave, Pearl Harbor, Hawaii |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Victor Manuel Diaz graduated from nursing school in 2012
NPI Data:
- NPI Number: 1336139609
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 3971570375
- Enrollment ID: I20220606002513
Medical Identifiers
Medical identifiers for Mr Victor Manuel Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336139609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 0024165994 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pec Anesthesia Llc | 3870748023 | 14 |
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. Mr Victor Manuel Diaz allows following entities to bill medicare on his behalf.
| Entity Name | Pec Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528305208
PECOS PAC ID: 3870748023
Enrollment ID: O20130220000025 |
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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. Mr Victor Manuel 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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Mr Victor Manuel Diaz, CRNA
480 Central Ave,
Pearl Harbor, HI 96860-4908
Ph: (808) 474-4242 | Mr Victor Manuel Diaz, CRNA
480 Central Ave,
Pearl Harbor, HI 96860-4908
Ph: (808) 474-4242 |
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