Dr Lisa Ditlev Aste, MD is a
Chiropractor - Internist physician based in Provo, Utah. Dr Lisa Ditlev Aste is licensed to practice in Utah (license number 1801431205) and her current practice location is 1300 E Center St, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 344-4411.
NPI number for Dr Lisa Ditlev Aste is 1225205941 and her current mailing address is Po Box 270, Provo, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225205941.
Physician's Profile
| Full Name | Dr Lisa Ditlev Aste |
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| Gender | Female |
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| Speciality | Chiropractor - Internist |
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| Location | 1300 E Center St, Provo, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225205941
- Provider Enumeration Date: 05/12/2008
- Last Update Date: 05/23/2008
Medical Identifiers
Medical identifiers for Dr Lisa Ditlev Aste such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225205941 | NPI | - | NPPES |
| 09606 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 180143 1205 (Utah) | Secondary |
| 111NI0900X | Chiropractor - Internist | 1801431205 (Utah) | Primary |
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. Dr Lisa Ditlev Aste is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lisa Ditlev Aste, MD
Po Box 270,
Provo, UT 84603-0270
Ph: (801) 344-4411 | Dr Lisa Ditlev Aste, MD
1300 E Center St,
Provo, UT 84606-3554
Ph: (801) 344-4411 |
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