Eulalia Dibattiste, MD is a medicare enrolled "Family Medicine" physician in Lanoka Harbor, New Jersey. Her current practice location is
411 Us Highway 9 Ste 2, Lanoka Harbor, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 693-0819.
Eulalia Dibattiste is licensed to practice in New Jersey (license number 25MA02980100) 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 1104856434.
Physician's Profile
| Full Name | Eulalia Dibattiste |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 411 Us Highway 9 Ste 2, Lanoka Harbor, New Jersey |
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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: 1104856434
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4981733417
- Enrollment ID: I20100521000492
Medical Identifiers
Medical identifiers for Eulalia Dibattiste such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104856434 | NPI | - | NPPES |
| 3643107 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25MA02980100 (New Jersey) | 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. Eulalia Dibattiste allows following entities to bill medicare on her behalf.
| Entity Name | Lacey Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487091369
PECOS PAC ID: 1557503521
Enrollment ID: O20130805000578 |
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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. Eulalia Dibattiste 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 |
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Eulalia Dibattiste, MD
411 Us Highway 9 Ste 2,
Lanoka Harbor, NJ 08734-2818
Ph: (609) 693-0819 | Eulalia Dibattiste, MD
411 Us Highway 9 Ste 2,
Lanoka Harbor, NJ 08734-2818
Ph: (609) 693-0819 |
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