Dr Maxwell Johannes Diddams, MD in Concord, NC

Dr Maxwell Johannes Diddams, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Concord, North Carolina. His current practice location is 1090 Ne Gateway Ct Ne Ste 201, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 403-7770.

Dr Maxwell Johannes Diddams is licensed to practice in North Carolina (license number 2021-00610) 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 1740716000.

Contact Information

	Dr Maxwell Johannes Diddams, MD
	1090 Ne Gateway Ct Ne Ste 201, Concord, NC 28025-2423
	(704) 403-7770
	(704) 403-7779

Map and Direction

Physician's Profile

Full Name	Dr Maxwell Johannes Diddams
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	1090 Ne Gateway Ct Ne Ste 201, Concord, 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: 1740716000
Provider Enumeration Date: 05/05/2017
Last Update Date: 07/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2961770631
Enrollment ID: I20211111001949

Medical Identifiers

Medical identifiers for Dr Maxwell Johannes Diddams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740716000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	227243 (North Carolina)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	2021-00610 (North Carolina)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	2021-00610 (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 Maxwell Johannes Diddams allows following entities to bill medicare on his behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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 Maxwell Johannes Diddams 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 Maxwell Johannes Diddams, MD 1090 Ne Gateway Ct Ne Ste 201, Concord, NC 28025-2423 Ph: (704) 403-7770	Dr Maxwell Johannes Diddams, MD 1090 Ne Gateway Ct Ne Ste 201, Concord, NC 28025-2423 Ph: (704) 403-7770

Reviews and Comments

Internal Medicine Doctors in Concord, NC

Leonard Alexander Stallings, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311
Chelsea Elaine Meloche, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Park Dr, Ste 210, Concord, NC 28025 Phone: 704-403-6100
Dr. Vinay Patel, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1070 Vinehaven Dr Ne, Concord, NC 28025 Phone: 704-783-1840 Fax: 704-783-1850
Aishwarya Palwai, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311
Meghan Rebecca Steiner, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Ste 110, Concord, NC 28025 Phone: 704-403-1370
Ashley Noisette Green, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 330, Concord, NC 28025 Phone: 704-403-1308
Stephen Sean Zouzoulas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Ste 210, Concord, NC 28025 Phone: 704-403-6100

Dr Maxwell Johannes Diddams, MD - Medicare Internal Medicine in Concord, NC