Marivic Lucena Diego, - Medicare Physical Therapist in Locust Grove, GA

Marivic Lucena Diego, is a medicare enrolled "Physical Therapist" provider in Locust Grove, Georgia. Her current practice location is 4959 Bill Gardner Pkwy Ste 109, Locust Grove, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 914-9285.

Marivic Lucena Diego is licensed to practice in Georgia (license number PT016000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720737885.

Contact Information

Marivic Lucena Diego,
4959 Bill Gardner Pkwy Ste 109,
Locust Grove, GA 30248-2915
(770) 914-9285
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMarivic Lucena Diego
GenderFemale
SpecialityPhysical Therapist
Location4959 Bill Gardner Pkwy Ste 109, Locust Grove, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720737885
  • Provider Enumeration Date: 03/23/2022
  • Last Update Date: 07/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395129597
  • Enrollment ID: I20220907004038

Medical Identifiers

Medical identifiers for Marivic Lucena Diego such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720737885NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT016000 (Georgia)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. Marivic Lucena Diego allows following entities to bill medicare on her behalf.
Provider NameIndependent Physical Therapy Of Georgia Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396
Provider NameEmory Physical Therapy, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1922018423
PECOS PAC ID: 1153382676
Enrollment ID: O20041019000776
Provider NameBenchmark Physical Therapy, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083666903
PECOS PAC ID: 1557395209
Enrollment ID: O20050921001120
Provider NameDrayer Physical Therapy Georgia, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962830406
PECOS PAC ID: 4284863317
Enrollment ID: O20140212000668
Provider NameGeorgia Luna Care Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245826999
PECOS PAC ID: 4082027727
Enrollment ID: O20210119001811

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. Marivic Lucena Diego 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
Marivic Lucena Diego,
6397 Lee Hwy Ste 300,
Chattanooga, TN 37421-4915

Ph: (423) 238-8923
Marivic Lucena Diego,
4959 Bill Gardner Pkwy Ste 109,
Locust Grove, GA 30248-2915

Ph: (770) 914-9285

Reviews and Comments


Physical Therapist in Locust Grove, GA

Janice Dk Ilori,
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Jeffrey Blake Pace, DPT
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Practice Location: 4959 Bill Gardner Pkwy Ste 109, Locust Grove, GA 30248
Phone: 770-914-9285    
Ms. Monica Mone' Smith, DPT
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Medicare: Not Enrolled in Medicare
Practice Location: 4877 Bill Gardner Pkwy, Locust Grove, GA 30248
Phone: 404-367-2097    Fax: 678-304-1396
Tony A Roberts, PT, DPT
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Medicare: Medicare Enrolled
Practice Location: 4959 Bill Gardner Pkwy Ste 109, Locust Grove, GA 30248
Phone: 770-914-9285    Fax: 770-914-5668
Deitra Yvette Wright, PT, DPT
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Medicare: Medicare Enrolled
Practice Location: 4959 Bill Gardner Pkwy, Ste 109, Locust Grove, GA 30248
Phone: 770-914-9285    Fax: 770-914-5668
R. Jason Kent Physical Therapy, Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4861 Bill Gardner Pkwy, Locust Grove, GA 30248
Phone: 470-885-0880    Fax: 470-885-0881

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.