Mayra Diaz, is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Presence Behavioral Health and her current practice location is
2653 W Ogden Ave Fl 2, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 257-6672.
Mayra Diaz is licensed to practice in Illinois (license number 149027238) 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 1992320485.
Healthcare Provider's Profile
| Full Name | Mayra Diaz |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 2653 W Ogden Ave Fl 2, Chicago, Illinois |
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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. |
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Medical Education and Training:
- Mayra Diaz graduated from medical school in 2021
NPI Data:
- NPI Number: 1992320485
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 10/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416491824
- Enrollment ID: I20240626003275
Medical Identifiers
Medical identifiers for Mayra Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992320485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149027238 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Presence Behavioral Health | 7517864143 | 16 |
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. Mayra Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Presence Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477622298
PECOS PAC ID: 7517864143
Enrollment ID: O20031212000734 |
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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. Mayra 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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Mayra Diaz,
3539 W Le Moyne St,
Chicago, IL 60651-2210
Ph: (312) 912-2645 | Mayra Diaz,
2653 W Ogden Ave Fl 2,
Chicago, IL 60608-1647
Ph: (773) 257-6672 |
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