Antonio R Diaz Jr, MD - Medicare Psychiatry & Neurology in Logan, WV

Antonio R Diaz Jr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Logan, West Virginia. His current practice location is 174 Lmah Center Rd, Logan, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 792-7130.

Antonio R Diaz Jr is licensed to practice in West Virginia (license number 16814) 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 1053339135.

Contact Information

Antonio R Diaz Jr, MD
174 Lmah Center Rd,
Logan, WV 25601-4058
(304) 792-7130
Not Available



Physician's Profile

Full NameAntonio R Diaz Jr
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location174 Lmah Center Rd, Logan, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053339135
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 08/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557315199
  • Enrollment ID: I20050308000284

Medical Identifiers

Medical identifiers for Antonio R Diaz Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053339135NPI-NPPES
0288291MedicaidOH
1493983OtherWVUMWA
550751751OtherWVBLUE CROSS/BLUE SHIELD
64940489MedicaidKY
000706447OtherBLUE CROSS/BLUE SHIELD
0115148000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 16814 (West Virginia)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. Antonio R Diaz Jr allows following entities to bill medicare on his behalf.
Entity NameLogan Mingo Area Mental Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427522218
PECOS PAC ID: 0840240362
Enrollment ID: O20190620002377

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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. Antonio R Diaz Jr 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
Antonio R Diaz Jr, MD
Po Box 176,
Logan, WV 25601-0176

Ph: (304) 792-7130
Antonio R Diaz Jr, MD
174 Lmah Center Rd,
Logan, WV 25601-4058

Ph: (304) 792-7130

News Archive

UC Davis assistant professor wins Hartwell Foundation award to explore treatment for juvenile diabetes

UC Davis Assistant Professor Mark Huising is a recipient of The Hartwell Foundation 2014 Individual Biomedical Research Award to support his early-stage research toward a cure for juvenile diabetes. Diabetes affects 10 percent of the entire United States population, including approximately a million children. Remarkably, 40 children every day receive the diagnosis of diabetes.

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Frailty was associated with an increased risk of complications among patients who underwent outpatient hernia, breast, thyroid or parathyroid surgery, with the findings suggesting that surgeons should consider frailty rather than age when counseling and selecting patients for elective ambulatory surgery, according to a study published by JAMA Surgery.

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Psychiatry & Neurology Doctors in Logan, WV

Dr. John David Justice, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: Route 10, Three Mile Curve, Logan, WV 25601
Phone: 304-792-7130    Fax: 304-792-7138

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