Elizabeth Ashley Diffely, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Garrison, North Dakota. Her current practice location is
437 3rd Ave Se, Garrison, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 463-6551.
Elizabeth Ashley Diffely is licensed to practice in North Dakota (license number R36507) 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 1245914563.
Physician's Profile
Full Name | Elizabeth Ashley Diffely |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 437 3rd Ave Se, Garrison, North Dakota |
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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: 1245914563
- Provider Enumeration Date: 06/15/2023
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284080292
- Enrollment ID: I20231027000924
Medical Identifiers
Medical identifiers for Elizabeth Ashley Diffely such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245914563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F06350881 (North Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | R36507 (North Dakota) | 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. Elizabeth Ashley Diffely allows following entities to bill medicare on her behalf.
Entity Name | St Alexius Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
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Entity Name | Garrison Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952381873 PECOS PAC ID: 0143206946 Enrollment ID: O20040624000556 |
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Entity Name | Garrison Memorial Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1982674560 PECOS PAC ID: 0143206946 Enrollment ID: O20061104000698 |
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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. Elizabeth Ashley Diffely 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 |
Elizabeth Ashley Diffely, FNP-C 437 3rd Ave Se, Garrison, ND 58540-7235 Ph: (701) 463-6551 | Elizabeth Ashley Diffely, FNP-C 437 3rd Ave Se, Garrison, ND 58540-7235 Ph: (701) 463-6551 |
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