| Dr Michael R Diaz, DO | |
|
510 South Forth Street, Fulton, NY 13069 | |
| (315) 349-5873 | |
| (315) 349-5921 |
| Full Name | Dr Michael R Diaz |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 510 South Forth Street, Fulton, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780646216 | NPI | - | NPPES |
| 01665705 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 203320 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oswego Health Home Care, Llc | Fulton, NY | Home health agency |
| Oswego Hospital | Oswego, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Physician Care Pc | 9032367453 | 64 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Entity Name | Physician Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073868113 PECOS PAC ID: 9032367453 Enrollment ID: O20120910000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael R Diaz, DO 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5511 | Dr Michael R Diaz, DO 510 South Forth Street, Fulton, NY 13069 Ph: (315) 349-5873 |
Dr. John B Ayres, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 South Forth Street, Fulton, NY 13069 Phone: 315-349-5873 Fax: 315-349-5921 |