Edward Diaz Jr, APRN, FNP-BC in Lake Mary, FL

Edward Diaz Jr, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Mary, Florida. His current practice location is 917 Rinehart Rd Ste 2041, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 926-3649.

Edward Diaz Jr is licensed to practice in Florida (license number APRN11021878) 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 1225758337.

Contact Information

	Edward Diaz Jr, APRN, FNP-BC
	917 Rinehart Rd Ste 2041, Lake Mary, FL 32746-4806
	(321) 926-3649
	(321) 926-3651

Map and Direction

Provider's Profile

Full Name	Edward Diaz Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	917 Rinehart Rd Ste 2041, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225758337
Provider Enumeration Date: 08/30/2022
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2860864329
Enrollment ID: I20230209000502

Medical Identifiers

Medical identifiers for Edward Diaz Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225758337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11021878 (Florida)	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. Edward Diaz Jr allows following entities to bill medicare on his behalf.

Entity Name	Certmedicals Walk In Clinic And Wound Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639764871 PECOS PAC ID: 9234547803 Enrollment ID: O20210420001509

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. Edward Diaz Jr 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
Edward Diaz Jr, APRN, FNP-BC 375 Palm Springs Dr Apt 102, Altamonte Springs, FL 32701-3504 Ph: (407) 443-5577	Edward Diaz Jr, APRN, FNP-BC 917 Rinehart Rd Ste 2041, Lake Mary, FL 32746-4806 Ph: (321) 926-3649

Reviews and Comments

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Edward Diaz Jr, APRN, FNP-BC - Medicare Nurse Practitioner in Lake Mary, FL