Dr Nadine Stacy-marie Lyseight, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Rialto, California. Her current practice location is
1850 N Riverside Ave Ste 180, Rialto, California. You can reach out to her office (for appointments etc.) via phone at
(909) 787-1987.
Dr Nadine Stacy-marie Lyseight is licensed to practice in California (license number A79351) 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 1790785046.
Physician's Profile
| Full Name | Dr Nadine Stacy-marie Lyseight |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1850 N Riverside Ave Ste 180, Rialto, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790785046
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153366281
- Enrollment ID: I20050620001133
Medical Identifiers
Medical identifiers for Dr Nadine Stacy-marie Lyseight such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790785046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | A79351 (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. Dr Nadine Stacy-marie Lyseight allows following entities to bill medicare on her behalf.
| Entity Name | Obhg California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826 |
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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. Dr Nadine Stacy-marie Lyseight 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 |
|---|
Dr Nadine Stacy-marie Lyseight, MD
1850 N Riverside Ave Ste 180,
Rialto, CA 92376-8071
Ph: (909) 787-1987 | Dr Nadine Stacy-marie Lyseight, MD
1850 N Riverside Ave Ste 180,
Rialto, CA 92376-8071
Ph: (909) 787-1987 |
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