Dr Diana Lisa Casianos, DNP, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Wanaque, New Jersey. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Al Obaidi Md Llc and her current practice location is
101 Ringwood Ave, Wanaque, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 406-2071.
Dr Diana Lisa Casianos is licensed to practice in New Jersey (license number 26NJ01380100) 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 1669259214.
Provider's Profile
| Full Name | Dr Diana Lisa Casianos |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 101 Ringwood Ave, Wanaque, New Jersey |
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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:
- Dr Diana Lisa Casianos graduated from nursing school in 2023
NPI Data:
- NPI Number: 1669259214
- Provider Enumeration Date: 09/08/2023
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830633403
- Enrollment ID: I20240708000895
Medical Identifiers
Medical identifiers for Dr Diana Lisa Casianos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669259214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ01380100 (New Jersey) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ01380100 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Al Obaidi Md Llc | 4284012352 | 2 |
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. Dr Diana Lisa Casianos allows following entities to bill medicare on her behalf.
| Entity Name | Hackensack Surgery And Wound Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326640806 PECOS PAC ID: 3779974274 Enrollment ID: O20211216001852 |
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| Entity Name | Al Obaidi Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669117479 PECOS PAC ID: 4284012352 Enrollment ID: O20220601001741 |
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| Entity Name | Baker Pediatrics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194487397 PECOS PAC ID: 7719354398 Enrollment ID: O20221111000006 |
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| Entity Name | Careconnectmd New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417638990 PECOS PAC ID: 7315475266 Enrollment ID: O20250107000048 |
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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. Dr Diana Lisa Casianos 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 |
Dr Diana Lisa Casianos, DNP, APN 101 Ringwood Ave, Wanaque, NJ 07465-2200 Ph: (201) 406-2071 | Dr Diana Lisa Casianos, DNP, APN 101 Ringwood Ave, Wanaque, NJ 07465-2200 Ph: (201) 406-2071 |
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