Dr Clarissa Jonas Diamantidis, MD in Winston Salem, NC

Dr Clarissa Jonas Diamantidis, MD is a medicare enrolled "Internal Medicine" physician in Winston Salem, North Carolina. Her current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 713-4156.

Dr Clarissa Jonas Diamantidis is licensed to practice in North Carolina (license number 2014-01223) 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 1871798538.

Contact Information

	Dr Clarissa Jonas Diamantidis, MD
	Medical Center Blvd, Winston Salem, NC 27157-1544
	(336) 713-4156
	(336) 716-4359

Map and Direction

Physician's Profile

Full Name	Dr Clarissa Jonas Diamantidis
Gender	Female
Speciality	Internal Medicine
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871798538
Provider Enumeration Date: 06/20/2007
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 4789716648
Enrollment ID: I20240610003151

Medical Identifiers

Medical identifiers for Dr Clarissa Jonas Diamantidis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871798538	NPI	-	NPPES
510360600	Medicaid	MD
965568-01 & 02	Other	MD	CAREFIRST BC/BS
S062-0394	Other	MD	CAREFIRST BC/BS REGIONAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	D70807 (Maryland)	Secondary
207R00000X	Internal Medicine	2014-01223 (North Carolina)	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. Dr Clarissa Jonas Diamantidis allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Dr Clarissa Jonas Diamantidis 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
Dr Clarissa Jonas Diamantidis, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 713-4156	Dr Clarissa Jonas Diamantidis, MD Medical Center Blvd, Winston Salem, NC 27157-1544 Ph: (336) 713-4156

Reviews and Comments

Internal Medicine Doctors in Winston Salem, NC

Shannon Mitchell St Clair, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Kamal Hanee Henderson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Michael Joseph Mccormack Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Randall Stephan Conrad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305
Brooke Williams, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383
Dr. Analicia Marie Alvarado, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. David Defeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737

Dr Clarissa Jonas Diamantidis, MD - Medicare Internal Medicine in Winston Salem, NC