Diana Lynn, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Port Hueneme, California. Her current practice location is
2617 Explorer Cv, Port Hueneme, California. You can reach out to her office (for appointments etc.) via phone at
(918) 703-0624.
Diana Lynn is licensed to practice in California (license number 95021720) 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 1104537869.
Provider's Profile
| Full Name | Diana Lynn |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2617 Explorer Cv, Port Hueneme, California |
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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: 1104537869
- Provider Enumeration Date: 12/13/2022
- Last Update Date: 12/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911367594
- Enrollment ID: I20230713003446
Medical Identifiers
Medical identifiers for Diana Lynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104537869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 843584 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95021720 (California) | 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 Lynn allows following entities to bill medicare on her behalf.
| Entity Name | Global Wound Care Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235831132
PECOS PAC ID: 9335504539
Enrollment ID: O20230517001871 |
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| Entity Name | American Wound Care Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497456818
PECOS PAC ID: 6305290172
Enrollment ID: O20230927002772 |
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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 Lynn 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 |
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Diana Lynn, FNP-BC
2617 Explorer Cv,
Port Hueneme, CA 93041-1555
Ph: (918) 703-0624 | Diana Lynn, FNP-BC
2617 Explorer Cv,
Port Hueneme, CA 93041-1555
Ph: (918) 703-0624 |
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