Gregory John Diehl, MD is a medicare enrolled "Plastic Surgery" physician in Port Jefferson Station, New York. His current practice location is
1500 Route 112 Bldg # 10, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 476-7300.
Gregory John Diehl is licensed to practice in New York (license number 1902162) 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 1447249214.
Physician's Profile
| Full Name | Gregory John Diehl |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 1500 Route 112 Bldg # 10, Port Jefferson Station, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447249214
- Provider Enumeration Date: 10/14/2005
- Last Update Date: 05/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052596293
- Enrollment ID: I20110503000361
Medical Identifiers
Medical identifiers for Gregory John Diehl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447249214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 1902162 (New York) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 1902162 (New York) | Secondary |
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. Gregory John Diehl 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 |
|---|
Gregory John Diehl, MD
1500 Route 112, Bldg 10,
Port Jefferson Station, NY 11776-3184
Ph: (631) 476-7300 | Gregory John Diehl, MD
1500 Route 112 Bldg # 10,
Port Jefferson Station, NY 11776
Ph: (631) 476-7300 |
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