Diana Kay Braziel, PA-C is a medicare enrolled "Urology" in Bentonville, Arkansas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Arkansas Urology, P.a. and her current practice location is
3400 Se Macy Road, Suite 18, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 268-6800.
Diana Kay Braziel is licensed to practice in Arkansas (license number PA-342) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225297260.
Provider's Profile
| Full Name | Diana Kay Braziel |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 3400 Se Macy Road, Bentonville, Arkansas |
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| Accepts Medicare Assignments | Yes. She 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:
- Diana Kay Braziel graduated from nursing school in 2008
NPI Data:
- NPI Number: 1225297260
- Provider Enumeration Date: 06/05/2008
- Last Update Date: 06/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 6002974243
- Enrollment ID: I20081016000600
Medical Identifiers
Medical identifiers for Diana Kay Braziel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225297260 | NPI | - | NPPES |
| PA-342 | Other | AR | ARKANSAS STATE MEDICAL BOARD LICENSE NUMBER |
| P-T0807 | Other | AR | TEMPORARY LICENSE STATE OF ARKANSAS |
| 1081767 | Other | | NCCPA CERTIFICATION NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | P-T0807 (Arkansas) | Secondary |
| 363A00000X | Physician Assistant | PA-342 (Arkansas) | Secondary |
| 208800000X | Urology | PA-342 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Arkansas Urology, P.a. | 4082502547 | 40 |
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. Diana Kay Braziel 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 |
|---|
Diana Kay Braziel, PA-C
3400 Se Macy Road, Suite 18,
Bentonville, AR 72712
Ph: (479) 268-6800 | Diana Kay Braziel, PA-C
3400 Se Macy Road, Suite 18,
Bentonville, AR 72712
Ph: (479) 268-6800 |
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