Dr Esmeraldo Diaz Herrera, MD is a medicare enrolled "Internal Medicine" physician in Waynesboro, Tennessee. His current practice location is
101 Jv Mangubat Dr, Waynesboro, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 722-9999.
Dr Esmeraldo Diaz Herrera is licensed to practice in Tennessee (license number 25806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174501597.
Physician's Profile
| Full Name | Dr Esmeraldo Diaz Herrera |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 101 Jv Mangubat Dr, Waynesboro, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174501597
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 07/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779575584
- Enrollment ID: I20040401000441
Medical Identifiers
Medical identifiers for Dr Esmeraldo Diaz Herrera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174501597 | NPI | - | NPPES |
| 3085092 | Medicaid | TN | |
| 3710089 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 25806 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 25806 (Tennessee) | 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 Esmeraldo Diaz Herrera allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997 |
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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. Dr Esmeraldo Diaz Herrera 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 Esmeraldo Diaz Herrera, MD
101 Jv Mangubat Dr,
Waynesboro, TN 38485-2440
Ph: (931) 722-9999 | Dr Esmeraldo Diaz Herrera, MD
101 Jv Mangubat Dr,
Waynesboro, TN 38485-2440
Ph: (931) 722-9999 |
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