| Ariel S Diza, PA | |
|
801 S Meridian St, Greenfield, TN 38230-2104 | |
| (731) 235-0555 | |
| Not Available |
| Full Name | Ariel S Diza |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 801 S Meridian St, Greenfield, Tennessee |
| 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 |
|---|---|---|---|
| 1619735693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6041 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beacon Home Health | Jackson, TN | Home health agency |
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| West Tennessee Healthcare Volunteer Hospital | Martin, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 737 |
| Pa Corporate Enterprises, Llp | 3971769001 | 2 |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | PA Corporate Enterprises, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518226646 PECOS PAC ID: 3971769001 Enrollment ID: O20120718000320 |
| Entity Name | Upperline Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20171114002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Ariel S Diza, PA 2030 Barham St, Milan, TN 38358-2812 Ph: (856) 812-8329 | Ariel S Diza, PA 801 S Meridian St, Greenfield, TN 38230-2104 Ph: (731) 235-0555 |
Hope Newell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1731 S Meridian St, Greenfield, TN 38230 Phone: 731-678-0055 |
David Jeffrey Wilbert, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 S Meridian St, Greenfield, TN 38230 Phone: 731-235-0555 Fax: 731-235-0559 |
Mrs. Amber Davidson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 739 Lynn Point Rd, Greenfield, TN 38230 Phone: 731-514-6025 |