Suzanne Tellez Diaz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Page, Arizona. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Presbyterian Healthcare Services and her current practice location is
463 S Lake Powell Blvd, Page, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 645-5113.
Suzanne Tellez Diaz is licensed to practice in Arizona (license number 22052) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609626449.
Healthcare Provider's Profile
| Full Name | Suzanne Tellez Diaz |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 463 S Lake Powell Blvd, Page, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Suzanne Tellez Diaz graduated from medical school in 2020
NPI Data:
- NPI Number: 1609626449
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375088479
- Enrollment ID: I20241106000312
Medical Identifiers
Medical identifiers for Suzanne Tellez Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609626449 | NPI | - | NPPES |
| 22052 | Other | AZ | LCSW LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 22052 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Presbyterian Healthcare Services | 9234041708 | 1179 |
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. Suzanne Tellez Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Presbyterian Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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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. Suzanne Tellez 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 |
Suzanne Tellez Diaz, LCSW Po Box 790, Page, AZ 86040-0790 Ph: (928) 433-3732 | Suzanne Tellez Diaz, LCSW 463 S Lake Powell Blvd, Page, AZ 86040-0856 Ph: (928) 645-5113 |
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