Diane Leeworthy, is a medicare enrolled "Audiologist" provider in French Camp, California. Her current practice location is
500 West Hospital Rd., French Camp, California. You can reach out to her office (for appointments etc.) via phone at
(209) 468-6937.
Diane Leeworthy is licensed to practice in California (license number AU1425) 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 1649392507.
Healthcare Provider's Profile
Full Name | Diane Leeworthy |
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Gender | Female |
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Speciality | Audiologist |
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Location | 500 West Hospital Rd., French Camp, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649392507
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3072706720
- Enrollment ID: I20101026000819
Medical Identifiers
Medical identifiers for Diane Leeworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649392507 | NPI | - | NPPES |
AU1425 | Other | CA | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AU1425 (California) | 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. Diane Leeworthy allows following entities to bill medicare on her behalf.
Provider Name | County Of San Joaquin |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
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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. Diane Leeworthy 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 |
Diane Leeworthy, Po Box 1020, Stockton, CA 95201-3120 Ph: (209) 468-6937 | Diane Leeworthy, 500 West Hospital Rd., French Camp, CA 95231 Ph: (209) 468-6937 |
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