Dr Ivan Dieguez, MD in Boca Raton, FL - Medicare General Practice

Dr Ivan Dieguez, MD is a medicare enrolled "General Practice" physician in Boca Raton, Florida. His current practice location is 21073 Powerline Rd, Boca Raton, Florida. You can reach out to his office (for appointments etc.) via phone at (786) 205-8523.

Dr Ivan Dieguez is licensed to practice in Florida (license number ACN1188) 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 1144879495.

Contact Information

	Dr Ivan Dieguez, MD
	21073 Powerline Rd, Boca Raton, FL 33433-2306
	(786) 205-8523
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ivan Dieguez
Gender	Male
Speciality	General Practice
Location	21073 Powerline Rd, Boca Raton, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144879495
Provider Enumeration Date: 09/10/2019
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8527495118
Enrollment ID: I20200220000464

Medical Identifiers

Medical identifiers for Dr Ivan Dieguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144879495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	ACN1188 (Florida)	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 Ivan Dieguez allows following entities to bill medicare on his behalf.

Entity Name	Centrum Medical Holdings, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538714282 PECOS PAC ID: 8820422991 Enrollment ID: O20191223002085

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 Ivan Dieguez 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 Ivan Dieguez, MD 21073 Powerline Rd Ste 35, Boca Raton, FL 33433-2306 Ph: (786) 205-8523	Dr Ivan Dieguez, MD 21073 Powerline Rd, Boca Raton, FL 33433-2306 Ph: (786) 205-8523

Reviews and Comments

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Dr Ivan Dieguez, MD - Medicare General Practice in Boca Raton, FL