Basheba Lawonda Porter, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Dothan, Alabama. Her current practice location is
4370 W Main St, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 793-5000.
Basheba Lawonda Porter is licensed to practice in Alabama (license number 1-126649) 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 1861186942.
Physician's Profile
Full Name | Basheba Lawonda Porter |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4370 W Main St, Dothan, Alabama |
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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: 1861186942
- Provider Enumeration Date: 06/02/2023
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830549476
- Enrollment ID: I20231222002036
Medical Identifiers
Medical identifiers for Basheba Lawonda Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861186942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1-126649 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-126649 (Alabama) | 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. Basheba Lawonda Porter allows following entities to bill medicare on her behalf.
Entity Name | Flowers Hb Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972283828 PECOS PAC ID: 6305290990 Enrollment ID: O20231002000205 |
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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. Basheba Lawonda Porter 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 |
Basheba Lawonda Porter, CRNP 4370 W Main St, Dothan, AL 36305-1056 Ph: (334) 793-5000 | Basheba Lawonda Porter, CRNP 4370 W Main St, Dothan, AL 36305-1056 Ph: (334) 793-5000 |
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