Miss Peyton Nicole Diaz, MA, CCC-SLP in Jacksonville, AR - Medicare Speech-Language Pathologist Provider

Miss Peyton Nicole Diaz, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Jacksonville, Arkansas. Her current practice location is 2400 Linda Ln, Jacksonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 241-2080.

Miss Peyton Nicole Diaz is licensed to practice in Arkansas (license number 201545) 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 1073031142.

Contact Information

	Miss Peyton Nicole Diaz, MA, CCC-SLP
	2400 Linda Ln, Jacksonville, AR 72076-2851
	(501) 241-2080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Peyton Nicole Diaz
Gender	Female
Speciality	Speech-language Pathologist
Location	2400 Linda Ln, Jacksonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073031142
Provider Enumeration Date: 09/08/2017
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID: 7315483948
Enrollment ID: I20240719000833

Medical Identifiers

Medical identifiers for Miss Peyton Nicole Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073031142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	201545 (Arkansas)	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. Miss Peyton Nicole Diaz allows following entities to bill medicare on her behalf.

Provider Name	Allied Therapy And Consulting Services, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134185937 PECOS PAC ID: 5597094920 Enrollment ID: O20190911000702

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. Miss Peyton Nicole 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
Miss Peyton Nicole Diaz, MA, CCC-SLP 1919 Northeastern Ave, Jacksonville, AR 72076-2934 Ph: (501) 241-2080	Miss Peyton Nicole Diaz, MA, CCC-SLP 2400 Linda Ln, Jacksonville, AR 72076-2851 Ph: (501) 241-2080

Reviews and Comments

Speech-Language Pathologist in Jacksonville, AR

Miss Susan Jean Bolls, MSE,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9403 Dorsey Rd, Jacksonville, AR 72076 Phone: 501-988-5809
Cynthia Dale Blohm, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 W Main St, Jacksonville, AR 72076 Phone: 501-982-0528 Fax: 501-533-6326
Meagan E. Lieber, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 W. Main, Jacksonville, AR 72076 Phone: 501-982-0528 Fax: 501-533-6327
Lindsay Thomas, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1414 W Main St, Jacksonville, AR 72076 Phone: 501-831-2601
Sarah P Caldwell, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 W Main St, Jacksonville, AR 72076 Phone: 501-982-4578 Fax: 501-533-6326
Mrs. Melanie Knowlton, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Pathfinder, Inc., 2615 W. Main Street, Jacksonville, AR 72076 Phone: 501-982-4578 Fax: 501-982-1253

Miss Peyton Nicole Diaz, MA, CCC-SLP - Medicare Speech-Language Pathologist in Jacksonville, AR