Susan Nicole Diaz, LCSW is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Bakersfield, California. Her current practice location is
5009 Panorama Dr, Bakersfield, California. You can reach out to her office (for appointments etc.) via phone at
(661) 241-0832.
Susan Nicole Diaz is licensed to practice in * (Not Available) (license number ) 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 1528461738.
Healthcare Provider's Profile
| Full Name | Susan Nicole Diaz |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5009 Panorama Dr, Bakersfield, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528461738
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 06/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345751731
- Enrollment ID: I20250613000077
Medical Identifiers
Medical identifiers for Susan Nicole Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528461738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 104921 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Susan Nicole Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
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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. Susan Nicole 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 |
Susan Nicole Diaz, LCSW 5009 Panorama Dr # Na, Bakersfield, CA 93306-1846 Ph: (661) 241-0832 | Susan Nicole Diaz, LCSW 5009 Panorama Dr, Bakersfield, CA 93306-1846 Ph: (661) 241-0832 |
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