Diana L Fairfax, NP is a medicare enrolled "Nurse Practitioner" in N. Attleboro, Massachusetts. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
153 E. Washington Street, N. Attleboro, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 699-7546.
Diana L Fairfax is licensed to practice in Massachusetts (license number RN161165) 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 1023016953.
Provider's Profile
Full Name | Diana L Fairfax |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 30 Years |
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Location | 153 E. Washington Street, N. Attleboro, Massachusetts |
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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:
- Diana L Fairfax graduated from nursing school in 1994
NPI Data:
- NPI Number: 1023016953
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 04/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 3274579495
- Enrollment ID: I20230228001555
Medical Identifiers
Medical identifiers for Diana L Fairfax such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023016953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 161165 (Massachusetts) | Secondary |
363L00000X | Nurse Practitioner | RN161165 (Massachusetts) | 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. Diana L Fairfax allows following entities to bill medicare on her behalf.
Entity Name | Fairfax Acne & Dermatology Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245947332 PECOS PAC ID: 6305219098 Enrollment ID: O20230228001160 |
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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. Diana L Fairfax 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 |
Diana L Fairfax, NP 153 E. Washington Street, N. Attleboro, MA 02760 Ph: (508) 699-7546 | Diana L Fairfax, NP 153 E. Washington Street, N. Attleboro, MA 02760 Ph: (508) 699-7546 |
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