Ms Lesa Marie Reda, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Peoria, Arizona. Her current practice location is
13640 N Plaza Del Rio Blvd, Ste 210, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 876-3830.
Ms Lesa Marie Reda is licensed to practice in Arizona (license number RN097080) 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 1770535460.
Physician's Profile
Full Name | Ms Lesa Marie Reda |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 13640 N Plaza Del Rio Blvd, Peoria, Arizona |
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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: 1770535460
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527090091
- Enrollment ID: I20050906000486
Medical Identifiers
Medical identifiers for Ms Lesa Marie Reda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770535460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | RN097080 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN097080 (Arizona) | 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. Ms Lesa Marie Reda allows following entities to bill medicare on her behalf.
Entity Name | Hospice Of The Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588682405 PECOS PAC ID: 4183617053 Enrollment ID: O20100820000198 |
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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. Ms Lesa Marie Reda 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 |
Ms Lesa Marie Reda, FNP 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 Ph: (623) 876-3800 | Ms Lesa Marie Reda, FNP 13640 N Plaza Del Rio Blvd, Ste 210, Peoria, AZ 85381 Ph: (623) 876-3830 |
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