Eric Lewis Diamond, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fox Point, Wisconsin. His current practice location is
7821 N Fairchild Rd, Fox Point, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(406) 396-3028.
Eric Lewis Diamond is licensed to practice in Wisconsin (license number 7817-123) 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 1144578014.
Healthcare Provider's Profile
| Full Name | Eric Lewis Diamond |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 7821 N Fairchild Rd, Fox Point, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144578014
- Provider Enumeration Date: 08/26/2012
- Last Update Date: 08/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 9537473418
- Enrollment ID: I20230720003429
Medical Identifiers
Medical identifiers for Eric Lewis Diamond such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144578014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 7817-123 (Wisconsin) | 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. Eric Lewis Diamond allows following entities to bill medicare on his behalf.
| Entity Name | Jefferson County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275614919
PECOS PAC ID: 2264496801
Enrollment ID: O20041115000371 |
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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. Eric Lewis Diamond 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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Eric Lewis Diamond, MSW, LCSW
7821 N Fairchild Rd,
Fox Point, WI 53217-3116
Ph: (406) 396-3028 | Eric Lewis Diamond, MSW, LCSW
7821 N Fairchild Rd,
Fox Point, WI 53217-3116
Ph: (406) 396-3028 |
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