Jakow Diener, MD in Bethlehem, NH - Medicare Internal Medicine

Jakow Diener, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Bethlehem, New Hampshire. His current practice location is 360 Brook Rd, Bethlehem, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 616-9916.

Jakow Diener is licensed to practice in New Hampshire (license number 12255) 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 1902872971.

Contact Information

	Jakow Diener, MD
	360 Brook Rd, Bethlehem, NH 03574-4342
	(603) 616-9916
	Not Available

Map and Direction

Physician's Profile

Full Name	Jakow Diener
Gender	Male
Speciality	Internal Medicine - Medical Oncology
Location	360 Brook Rd, Bethlehem, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902872971
Provider Enumeration Date: 02/28/2006
Last Update Date: 07/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0840180972
Enrollment ID: I20170412000589

Medical Identifiers

Medical identifiers for Jakow Diener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902872971	NPI	-	NPPES
80300008	Medicaid	NH
5414126	Other	NH	CIGNA HEALTHCARE
384132	Other	NH	MVP
1010617	Medicaid	VT
AA38042	Other	NH	HARVARD PILGRIM HEALTHCAR
0196371	Medicaid	OH
01Y007264NH01	Other	NH	BLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	12255 (New Hampshire)	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. Jakow Diener allows following entities to bill medicare on his behalf.

Entity Name	Champlain Valley Physicians Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623

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. Jakow Diener 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
Jakow Diener, MD 360 Brook Rd, Bethlehem, NH 03574-4342 Ph: (603) 616-9916	Jakow Diener, MD 360 Brook Rd, Bethlehem, NH 03574-4342 Ph: (603) 616-9916

Jakow Diener, MD - Medicare Internal Medicine in Bethlehem, NH