A system and method for confirming identity and authority by a patient medical device is provided. Master credentials are issued to a requesting device and a receiving device from an authorizing agent. The master credentials include a public key of the authorizing agent and a digital signature of a root certification authority. Device credentials are issued to the requesting device from the authorizing agent. The device credentials include a public key of the requesting device and a digital signature of the authorizing agent. Identification credentials are provided to the receiving device and include the device credentials and a digital signature of the requesting device. The requesting device is authenticated. The digital signature of the authorizing agent in the device credentials is checked using the public key of the authorizing agent in the master credentials of the receiving device. The digital signature of the requesting device in the identification credentials is checked using the public key of the requesting device in the device credentials.