Michael Ian Dziat, AGNP in Cleveland, OH - Medicare Nurse Practitioner

Michael Ian Dziat, AGNP is a medicare enrolled "Nurse Practitioner" in Cleveland, Ohio. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Illumia Health Llc and his current practice location is 1001 Lakeside Ave E, Ste 1000, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 258-6072.

Michael Ian Dziat is licensed to practice in South Carolina (license number 30385) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255735254.

Contact Information

	Michael Ian Dziat, AGNP
	1001 Lakeside Ave E, Ste 1000, Cleveland, OH 44114-1158
	(440) 258-6072
	(216) 420-9354

Map and Direction

Provider's Profile

Full Name	Michael Ian Dziat
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1001 Lakeside Ave E, Cleveland, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Ian Dziat graduated from nursing school in 2014

NPI Data:

NPI Number: 1255735254
Provider Enumeration Date: 10/20/2014
Last Update Date: 10/27/2025

Medicare PECOS Information:

PECOS PAC ID: 3678890860
Enrollment ID: I20171013002292

Medical Identifiers

Medical identifiers for Michael Ian Dziat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255735254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	16445 (Ohio)	Secondary
363L00000X	Nurse Practitioner	30385 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Illumia Health Llc	7810424306	38

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. Michael Ian Dziat allows following entities to bill medicare on his behalf.

Entity Name	Illumia Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740024397 PECOS PAC ID: 7810424306 Enrollment ID: O20241223000539

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. Michael Ian Dziat 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
Michael Ian Dziat, AGNP 1001 Lakeside Ave E Ste 1000, Cleveland, OH 44114-1162 Ph: (440) 258-6072	Michael Ian Dziat, AGNP 1001 Lakeside Ave E, Ste 1000, Cleveland, OH 44114-1158 Ph: (440) 258-6072

Reviews and Comments

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Mrs. Maureen Patrice Mcgoff Allen, BSN-RN, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-5329 Fax: 216-445-1521
Anne M Tomsich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Q10-1, Cleveland, OH 44195 Phone: 216-444-0415 Fax: 216-445-2267
Mrs. Allison Leigh Pullum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, C25, Cleveland, OH 44195 Phone: 216-445-1583 Fax: 216-444-9890

Michael Ian Dziat, AGNP - Medicare Nurse Practitioner in Cleveland, OH