Diana Louise Lewis, NP is a medicare enrolled "Nurse Practitioner - Family" in Ocate, New Mexico. Her current practice location is
Nm State Highway 120,, Mile Marker 12.5, Ocate, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 666-2475.
Diana Louise Lewis is licensed to practice in New Mexico (license number R24775) 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 1043201056.
Provider's Profile
| Full Name | Diana Louise Lewis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | Nm State Highway 120,, Ocate, New Mexico |
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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: 1043201056
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 06/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 5193747723
- Enrollment ID: I20060109000449
Medical Identifiers
Medical identifiers for Diana Louise Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043201056 | NPI | - | NPPES |
| NM400019 | Other | NM | INDIVIDUAL PTAN |
| NMB2163 | Other | NM | GROUP PTAN NMB2163 |
| 22002570 | Medicaid | NM | |
| 41903765 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R24775 (New Mexico) | 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 Louise Lewis allows following entities to bill medicare on her behalf.
| Entity Name | South Central Colfax County Special Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215163639
PECOS PAC ID: 6800070707
Enrollment ID: O20111019000475 |
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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 Louise Lewis 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 Louise Lewis, NP
Nm Highway 120 @mile Marker 12.5, South Side Of Highway, P.o. Box 203,
Ocate, NM 87734
Ph: (505) 666-2475 | Diana Louise Lewis, NP
Nm State Highway 120,, Mile Marker 12.5,
Ocate, NM 87734
Ph: (505) 666-2475 |
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