Wanda I Diaz, MD - Medicare Undefined Physician Type (specify) in Lawton, OK

Wanda I Diaz, MD is a medicare enrolled "Emergency Medicine" physician in Lawton, Oklahoma. She went to University Of Puerto Rico School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Undefined Physician Type (specify). She is a member of the group practice Xgto Urgent Medical Of Lawton, Llc and her current practice location is 1902 E Gore Blvd, Lawton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 357-4200.

Wanda I Diaz is licensed to practice in Oklahoma (license number 27633) 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 1801090329.

Contact Information

Wanda I Diaz, MD
1902 E Gore Blvd,
Lawton, OK 73501-6102
(580) 357-4200
Not Available



Physician's Profile

Full NameWanda I Diaz
GenderFemale
SpecialityUndefined Physician Type (specify)
Experience33 Years
Location1902 E Gore Blvd, Lawton, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Wanda I Diaz attended and graduated from University Of Puerto Rico School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1801090329
  • Provider Enumeration Date: 06/11/2007
  • Last Update Date: 10/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1557444205
  • Enrollment ID: I20110131000298

Medical Identifiers

Medical identifiers for Wanda I Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801090329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 038217 (Georgia)Secondary
207P00000XEmergency Medicine 27633 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Xgto Urgent Medical Of Lawton, Llc47898632673

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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. Wanda I Diaz allows following entities to bill medicare on her behalf.
Entity NameXgto Urgent Medical Of Lawton, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891027371
PECOS PAC ID: 4789863267
Enrollment ID: O20110131000222

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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. Wanda I 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 AddressPractice Location Address
Wanda I Diaz, MD
1902 E Gore Blvd,
Lawton, OK 73501-6102

Ph: (580) 357-4200
Wanda I Diaz, MD
1902 E Gore Blvd,
Lawton, OK 73501-6102

Ph: (580) 357-4200

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Emergency Medicine Doctors in Lawton, OK

Daniel Dorton,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 W Gore Blvd # W, Lawton, OK 73505
Phone: 580-699-4322    
Dr. Kirk M. Smith, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4909 Se Mills Ave, Lawton, OK 73501
Phone: 580-890-0545    
Dr. Justin M Magalassi, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 W Gore Blvd, Lawton, OK 73505
Phone: 918-519-2011    
Dr. Manuel Delarosa, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Nw 67th St, Suite E, Lawton, OK 73505
Phone: 580-536-9400    
Ryan Dale Ford, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4510 Sw Wendy Dr, Lawton, OK 73505
Phone: 580-355-8620    
Dr. Andrew Burnette, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 W Gore Blvd, Lawton, OK 73505
Phone: 580-585-5545    
David W. Behm, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5602 Sw Lee Blvd, Er Dept, Lawton, OK 73505
Phone: 580-531-4700    Fax: 405-749-4561

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