Dr Keith Thomas Diaz, MD in Staten Island, NY

Dr Keith Thomas Diaz, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Staten Island, New York. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Amboy Medical Practice Pc and his current practice location is 682 Forest Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (347) 575-9865.

Dr Keith Thomas Diaz is licensed to practice in New York (license number 245968) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073771556.

Contact Information

	Dr Keith Thomas Diaz, MD
	682 Forest Ave, Staten Island, NY 10310-2507
	(347) 575-9865
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith Thomas Diaz
Gender	Male
Speciality	Internal Medicine
Experience	20 Years
Location	682 Forest Ave, Staten Island, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Keith Thomas Diaz graduated from medical school in 2004

NPI Data:

NPI Number: 1073771556
Provider Enumeration Date: 05/30/2008
Last Update Date: 09/08/2014

Medicare PECOS Information:

PECOS PAC ID: 2860661121
Enrollment ID: I20110830000119

Medical Identifiers

Medical identifiers for Dr Keith Thomas Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073771556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	245968 (New York)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	245968 (New York)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	245968 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Richmond University Medical Center	Staten island, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amboy Medical Practice Pc	2860538170	129

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 Keith Thomas Diaz allows following entities to bill medicare on his behalf.

Entity Name	Amboy Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024

Entity Name	Westchester Medical Center Advanced Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042

Entity Name	Ny Medical Health Care Diagnostic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598941577 PECOS PAC ID: 4486825932 Enrollment ID: O20110914000338

Entity Name	Richmond Pulmonary And Critical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902235880 PECOS PAC ID: 4880917541 Enrollment ID: O20150105000591

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 Keith Thomas 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
Dr Keith Thomas Diaz, MD 474 Bedford Ave, Staten Island, NY 10306-5424 Ph: (347) 575-9865	Dr Keith Thomas Diaz, MD 682 Forest Ave, Staten Island, NY 10310-2507 Ph: (347) 575-9865

Reviews and Comments

Internal Medicine Doctors in Staten Island, NY

Liliane Sarkis Deeb, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4106 Hylan Blvd, Staten Island, NY 10308 Phone: 718-226-7855 Fax: 718-227-5814
Deepak Vadada, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3611
Dr. Samantha Maria Lee, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9510 Fax: 718-226-3473
Dr. Jean Chalhoub, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Avenue, Department Of Internal Medicine, Staten Island, NY 10305 Phone: 718-226-8855
Dr. Gustave Stephen Drivas, M.D., Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312 Phone: 718-948-3890 Fax: 718-948-3961
Dr. Beatrice Nogueira, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6902 Fax: 718-226-6844
Dr. Felicia Tenedios, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 South Ave Ste 204, Staten Island, NY 10314 Phone: 718-447-0055 Fax: 718-876-5212

Dr Keith Thomas Diaz, MD - Medicare Internal Medicine in Staten Island, NY