Lizette Alejandra Sidransky-ulloa, CNP is a medicare enrolled "Nurse Practitioner" physician in Albuquerque, New Mexico. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Presbyterian Healthcare Services and her current practice location is
5901 Harper Drive Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 823-8870.
Lizette Alejandra Sidransky-ulloa is licensed to practice in New Mexico (license number 63716) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023682580.
Physician's Profile
Full Name | Lizette Alejandra Sidransky-ulloa |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 5901 Harper Drive Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lizette Alejandra Sidransky-ulloa graduated from medical school in 2021
NPI Data:
- NPI Number: 1023682580
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678976768
- Enrollment ID: I20210727002884
Medical Identifiers
Medical identifiers for Lizette Alejandra Sidransky-ulloa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023682580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 63716 (New Mexico) | Secondary |
363L00000X | Nurse Practitioner | 63716 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Presbyterian Healthcare Services | 9234041708 | 1119 |
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. Lizette Alejandra Sidransky-ulloa allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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Entity Name | Gps Physician Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180103001472 |
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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. Lizette Alejandra Sidransky-ulloa 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 |
Lizette Alejandra Sidransky-ulloa, CNP 5901 Harper Drive Ne, Albuquerque, NM 87109-3589 Ph: (505) 823-8870 | Lizette Alejandra Sidransky-ulloa, CNP 5901 Harper Drive Ne, Albuquerque, NM 87109-3589 Ph: (505) 823-8870 |
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