Dr Diva S Seddick, MD, CM is a medicare enrolled "Integrative Medicine" physician in Danville, California. Her current practice location is
903 San Ramon Valley Blvd Ste 220, Danville, California. You can reach out to her office (for appointments etc.) via phone at
(925) 255-5411.
Dr Diva S Seddick is licensed to practice in California (license number A62960) 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 1619175445.
Physician's Profile
| Full Name | Dr Diva S Seddick |
|---|
| Gender | Female |
|---|
| Speciality | Integrative Medicine |
|---|
| Location | 903 San Ramon Valley Blvd Ste 220, Danville, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1619175445
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 06/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628136728
- Enrollment ID: I20110516000303
Medical Identifiers
Medical identifiers for Dr Diva S Seddick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619175445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A62960 (California) | Secondary |
| 202D00000X | Integrative Medicine | A62960 (California) | Primary |
| 171400000X | Health & Wellness Coach | A62960 (California) | Secondary |
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 Diva S Seddick allows following entities to bill medicare on her behalf.
| Entity Name | Pokroy Medical Group of Nevada Ltd |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1992809412
PECOS PAC ID: 7911037643
Enrollment ID: O20100607000694 |
|---|
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 Diva S Seddick 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 Diva S Seddick, MD, CM
3641 Country Club Ter,
Danville, CA 94506-6064
Ph: (925) 785-5990 | Dr Diva S Seddick, MD, CM
903 San Ramon Valley Blvd Ste 220,
Danville, CA 94526-4049
Ph: (925) 255-5411 |
Reviews and Comments