Shondell Diaz, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Portland, Oregon. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
3705 Se Cesar Chavez Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(206) 785-1015.
Shondell Diaz is licensed to practice in Oregon (license number PA164846) 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 1376978825.
Provider's Profile
| Full Name | Shondell Diaz |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 3705 Se Cesar Chavez Blvd, Portland, Oregon |
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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:
- Shondell Diaz graduated from nursing school in 2013
NPI Data:
- NPI Number: 1376978825
- Provider Enumeration Date: 09/03/2013
- Last Update Date: 02/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 5294969879
- Enrollment ID: I20131015000664
Medical Identifiers
Medical identifiers for Shondell Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376978825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA164846 (Oregon) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | PA164846 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA164846 (Oregon) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PA164846 (Oregon) | 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. Shondell Diaz allows following entities to bill medicare on her behalf.
| Entity Name | Rogue Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073511721
PECOS PAC ID: 1557266236
Enrollment ID: O20040226000885 |
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| Entity Name | SD Wellness LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285458851
PECOS PAC ID: 7517447212
Enrollment ID: O20260212002376 |
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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. Shondell Diaz 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 |
|---|
Shondell Diaz,
3705 Se Cesar Chavez Blvd,
Portland, OR 97202-1704
Ph: (541) 500-8655 | Shondell Diaz,
3705 Se Cesar Chavez Blvd,
Portland, OR 97202-1704
Ph: (206) 785-1015 |
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