Dianna Waller Wadsworth, FNP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Slidell, Louisiana. Her current practice location is
1051 Gause Blvd, Suite 380, Slidell, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 641-8191.
Dianna Waller Wadsworth is licensed to practice in Louisiana (license number AP06883) 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 1386990463.
Provider's Profile
Full Name | Dianna Waller Wadsworth |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 1051 Gause Blvd, Slidell, Louisiana |
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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: 1386990463
- Provider Enumeration Date: 07/26/2012
- Last Update Date: 07/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 1355586280
- Enrollment ID: I20130326000267
Medical Identifiers
Medical identifiers for Dianna Waller Wadsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386990463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SF0001X | Clinical Nurse Specialist - Family Health | AP06883 (Louisiana) | 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. Dianna Waller Wadsworth allows following entities to bill medicare on her behalf.
Entity Name | Clinton H Sharp |
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Entity Type | Practitioner - Family Practice |
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Entity Identifiers | NPI Number: 1508855198 PECOS PAC ID: 0941262208 Enrollment ID: I20041028001056 |
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Entity Name | Van Meter Emergency Physicians Inc. Apmc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649410697 PECOS PAC ID: 4981761590 Enrollment ID: O20090326000385 |
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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. Dianna Waller Wadsworth 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 |
Dianna Waller Wadsworth, FNP 1375 Corporate Square Dr, Slidell, LA 70458-3147 Ph: (985) 649-1152 | Dianna Waller Wadsworth, FNP 1051 Gause Blvd, Suite 380, Slidell, LA 70458-2951 Ph: (985) 641-8191 |
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