Dr Michael R Diaz, DO is a medicare enrolled "Orthopaedic Surgery" physician in Fulton, New York. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Physician Care Pc and his current practice location is
510 South Forth Street, Fulton, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 349-5873.
Dr Michael R Diaz is licensed to practice in New York (license number 203320) 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 1780646216.
Physician's Profile
Full Name | Dr Michael R Diaz |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 33 Years |
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Location | 510 South Forth Street, Fulton, New York |
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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 Michael R Diaz attended and graduated from Philadelphia College Of Osteopathic Medicine in 1991
NPI Data:
- NPI Number: 1780646216
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466595145
- Enrollment ID: I20100203000270
Medical Identifiers
Medical identifiers for Dr Michael R Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780646216 | NPI | - | NPPES |
01665705 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 203320 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Physician Care Pc | 9032367453 | 54 |
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 Michael R Diaz allows following entities to bill medicare on his behalf.
Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
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Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
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Entity Name | Physician Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073868113 PECOS PAC ID: 9032367453 Enrollment ID: O20120910000593 |
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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 Michael R 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 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 |
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