Ms Dianne Lynne Mazzo, ARNP in Palm Coast, FL

Ms Dianne Lynne Mazzo, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Palm Coast, Florida. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Island Doctors Intrastate Llc and her current practice location is 2 Mccormick Dr, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 246-7365.

Ms Dianne Lynne Mazzo is licensed to practice in Florida (license number APRN9284326) 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 1417197633.

Contact Information

	Ms Dianne Lynne Mazzo, ARNP
	2 Mccormick Dr, Palm Coast, FL 32164-2352
	(386) 246-7365
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Dianne Lynne Mazzo
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	2 Mccormick Dr, Palm Coast, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Dianne Lynne Mazzo graduated from nursing school in 2005

NPI Data:

NPI Number: 1417197633
Provider Enumeration Date: 02/27/2009
Last Update Date: 02/25/2026

Medicare PECOS Information:

PECOS PAC ID: 1052469251
Enrollment ID: I20090428000420

Medical Identifiers

Medical identifiers for Ms Dianne Lynne Mazzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417197633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95025681 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN9284326 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Island Doctors Intrastate Llc	5395161186	71

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. Ms Dianne Lynne Mazzo allows following entities to bill medicare on her behalf.

Entity Name	Roy H Hinman Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798

Entity Name	Island Doctors Intrastate Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733

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. Ms Dianne Lynne Mazzo 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
Ms Dianne Lynne Mazzo, ARNP 2460 Old Moultrie Rd Ste 1, St Augustine, FL 32086-4198 Ph: (386) 264-1130	Ms Dianne Lynne Mazzo, ARNP 2 Mccormick Dr, Palm Coast, FL 32164-2352 Ph: (386) 246-7365

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Cynthia Michelle Baxter, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 381 Palm Coast Pkwy Sw Unit 2, Palm Coast, FL 32137 Phone: 386-232-8089
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Cypress Point Pkwy Ste A, Palm Coast, FL 32164 Phone: 386-586-7005 Fax: 844-867-3940

Ms Dianne Lynne Mazzo, ARNP - Medicare Nurse Practitioner in Palm Coast, FL