Deanna Jean Valdivia, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Louisville, Kentucky. Her current practice location is
9880 Angies Way Ste 420, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 394-6200.
Deanna Jean Valdivia is licensed to practice in Kentucky (license number 3017659) 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 1184366643.
Physician's Profile
Full Name | Deanna Jean Valdivia |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9880 Angies Way Ste 420, Louisville, Kentucky |
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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: 1184366643
- Provider Enumeration Date: 04/13/2022
- Last Update Date: 06/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385023522
- Enrollment ID: I20220620000369
Medical Identifiers
Medical identifiers for Deanna Jean Valdivia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184366643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 3017659 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3017659 (Kentucky) | 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. Deanna Jean Valdivia allows following entities to bill medicare on her behalf.
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
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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. Deanna Jean Valdivia 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 |
Deanna Jean Valdivia, APRN, FNP-BC 359 S Peak Ave, Shepherdsville, KY 40165-6888 Ph: (502) 531-2280 | Deanna Jean Valdivia, APRN, FNP-BC 9880 Angies Way Ste 420, Louisville, KY 40241-2850 Ph: (502) 394-6200 |
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