Mrs Diana Lynn Culbertson, PA is a medicare enrolled "Physician Assistant" physician in Saint Louis, Missouri. Her current practice location is
1 Childrens Pl Ste C, Ste C, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 454-6051.
Mrs Diana Lynn Culbertson is licensed to practice in Missouri (license number 2015006221) 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 1588043632.
Physician's Profile
| Full Name | Mrs Diana Lynn Culbertson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1 Childrens Pl Ste C, Saint Louis, Missouri |
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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: 1588043632
- Provider Enumeration Date: 05/21/2015
- Last Update Date: 01/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 3779891098
- Enrollment ID: I20191210001969
Medical Identifiers
Medical identifiers for Mrs Diana Lynn Culbertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588043632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 2015006221 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 2015006221 (Missouri) | 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. Mrs Diana Lynn Culbertson 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 |
|---|
Mrs Diana Lynn Culbertson, PA
1 Childrens Pl, Cb 8116,
Saint Louis, MO 63110-1002
Ph: (314) 454-6051 | Mrs Diana Lynn Culbertson, PA
1 Childrens Pl Ste C, Ste C,
Saint Louis, MO 63110-1002
Ph: (314) 454-6051 |
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