Michael Dominick Diodato Jr, MD - Medicare Surgery in Phoenix, AZ

Michael Dominick Diodato Jr, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Phoenix, Arizona. His current practice location is 500 W Thomas Rd Ste 500, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 406-4000.

Michael Dominick Diodato Jr is licensed to practice in Arizona (license number 55156) 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 1124270053.

Contact Information

Michael Dominick Diodato Jr, MD
500 W Thomas Rd Ste 500,
Phoenix, AZ 85013-4220
(602) 406-4000
(602) 406-6498



Physician's Profile

Full NameMichael Dominick Diodato Jr
GenderMale
SpecialitySurgery - Surgical Critical Care
Location500 W Thomas Rd Ste 500, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124270053
  • Provider Enumeration Date: 10/22/2008
  • Last Update Date: 11/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4587834254
  • Enrollment ID: I20130806000214

Medical Identifiers

Medical identifiers for Michael Dominick Diodato Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124270053NPI-NPPES
001519164MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 036124370 (Illinois)Secondary
208600000XSurgery 051916 (Connecticut)Secondary
2086S0102XSurgery - Surgical Critical Care 051916 (Connecticut)Secondary
2086S0102XSurgery - Surgical Critical Care 55156 (Arizona)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. Michael Dominick Diodato Jr allows following entities to bill medicare on his behalf.
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700

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Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752

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Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007

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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. Michael Dominick Diodato 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
Michael Dominick Diodato Jr, MD
500 W Thomas Rd Ste 500,
Phoenix, AZ 85013-4220

Ph: (602) 406-4000
Michael Dominick Diodato Jr, MD
500 W Thomas Rd Ste 500,
Phoenix, AZ 85013-4220

Ph: (602) 406-4000

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› Verified 7 days ago


Surgery Doctors in Phoenix, AZ

Dr. Michael J Stumpf, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20940 N. Tatum Blvd. Ste #350, Phoenix, AZ 85050
Phone: 844-436-7874    Fax: 877-828-6834
Dr. Owen Thomas Mccabe, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5011    
Ms. Kathleen Dolores Van Leeuwen, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 602-933-0016    Fax: 602-933-4309
Charles E Castillo, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2320 N 3rd St, Phoenix, AZ 85004
Phone: 602-340-0201    Fax: 602-340-0367
Dr. Jeromy Brink, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6040 N 7th St Ste 105, Phoenix, AZ 85014
Phone: 602-277-7430    Fax: 602-279-5333
Gaby A P Iskander, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5011    
Yafei Ouyang, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1441 N 12th St Fl 1, Phoenix, AZ 85006
Phone: 602-521-5981    

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