Diana Previllon, NP is a medicare enrolled "Nurse Practitioner - Family" in Bardonia, New York. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Divinity Medical Services Pllc and her current practice location is
330 Route 304, Bardonia, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 623-6232.
Diana Previllon is licensed to practice in New York (license number F347865-01) 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 1669147187.
Provider's Profile
| Full Name | Diana Previllon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 330 Route 304, Bardonia, New York |
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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. |
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Medical Education and Training:
- Diana Previllon graduated from nursing school in 2021
NPI Data:
- NPI Number: 1669147187
- Provider Enumeration Date: 08/16/2021
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416336680
- Enrollment ID: I20220617000956
Medical Identifiers
Medical identifiers for Diana Previllon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669147187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F347865-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Divinity Medical Services Pllc | 5193030245 | 72 |
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 Previllon allows following entities to bill medicare on her behalf.
| Entity Name | Chenango Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770593956
PECOS PAC ID: 7517853633
Enrollment ID: O20040225000911 |
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| Entity Name | Divinity Medical Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497159560
PECOS PAC ID: 5193030245
Enrollment ID: O20150818005362 |
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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 Previllon 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 Previllon, NP
330 Route 304,
Bardonia, NY 10954-1627
Ph: (845) 623-6232 | Diana Previllon, NP
330 Route 304,
Bardonia, NY 10954-1627
Ph: (845) 623-6232 |
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