Dr Thomas Charlton Diaz, DO is a medicare enrolled "Family Medicine" physician in Trophy Club, Texas. He went to William Carey University College Of Osteopathic Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Trophy Club Family Medicine Pa and his current practice location is
945 Trophy Club Dr, Trophy Club, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 430-9111.
Dr Thomas Charlton Diaz is licensed to practice in Texas (license number T4345) 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 1265068118.
Physician's Profile
| Full Name | Dr Thomas Charlton Diaz |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 945 Trophy Club Dr, Trophy Club, Texas |
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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. |
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Medical Education and Training:
- Dr Thomas Charlton Diaz attended and graduated from William Carey University College Of Osteopathic Medicine in 2020
NPI Data:
- NPI Number: 1265068118
- Provider Enumeration Date: 03/22/2020
- Last Update Date: 03/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678996881
- Enrollment ID: I20230612003191
Medical Identifiers
Medical identifiers for Dr Thomas Charlton Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265068118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | T4345 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Trophy Club Family Medicine Pa | 4688734056 | 4 |
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 Thomas Charlton Diaz allows following entities to bill medicare on his behalf.
| Entity Name | Trend Physicians Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750934089
PECOS PAC ID: 9133553498
Enrollment ID: O20191220000140 |
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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 Thomas Charlton 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 |
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Dr Thomas Charlton Diaz, DO
945 Trophy Club Dr,
Trophy Club, TX 76262-5580
Ph: (817) 336-2100 | Dr Thomas Charlton Diaz, DO
945 Trophy Club Dr,
Trophy Club, TX 76262-5580
Ph: (817) 430-9111 |
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