Mr Mark Diaz Iii, PA-C - Medicare Physician Assistant in Madison, WI

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Mr Mark Diaz Iii, PA-C is a medicare enrolled "Physician Assistant" in Madison, Wisconsin. His current practice location is 77 S Oakbridge Ct Apt 105, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (562) 659-3459.

Mr Mark Diaz Iii is licensed to practice in Wisconsin (license number 4404-23) 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 1700370020.

Contact Information

Mr Mark Diaz Iii, PA-C
77 S Oakbridge Ct Apt 105,
Madison, WI 53717-2030
(562) 659-3459
Not Available

Map and Direction




Provider's Profile

Full NameMr Mark Diaz Iii
GenderMale
SpecialityPhysician Assistant
Location77 S Oakbridge Ct Apt 105, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700370020
  • Provider Enumeration Date: 06/20/2018
  • Last Update Date: 06/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860730470
  • Enrollment ID: I20190415001886

Medical Identifiers

Medical identifiers for Mr Mark Diaz Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700370020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4404-23 (Wisconsin)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. Mr Mark Diaz Iii allows following entities to bill medicare on his behalf.
Entity NameMile Bluff Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609912005
PECOS PAC ID: 8527971399
Enrollment ID: O20031205000618
Entity NameEmergency Medicine Associates of Madison, SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235119769
PECOS PAC ID: 2567455264
Enrollment ID: O20040407001055

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. Mr Mark Diaz Iii 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 AddressPractice Location Address
Mr Mark Diaz Iii, PA-C
77 S Oakbridge Ct Apt 105,
Madison, WI 53717-2030

Ph: Not Available		Mr Mark Diaz Iii, PA-C
77 S Oakbridge Ct Apt 105,
Madison, WI 53717-2030

Ph: (562) 659-3459

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.