Dustin David Denicola, NP in Baton Rouge, LA - Medicare Nurse Practitioner

Dustin David Denicola, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Baton Rouge, Louisiana. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 4950 Essen Ln, Suite 300, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 490-8882.

Dustin David Denicola is licensed to practice in Louisiana (license number RN117110-AP06574) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073879508.

Contact Information

	Dustin David Denicola, NP
	4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738
	(225) 490-8882
	(225) 765-9085

Map and Direction

Provider's Profile

Full Name	Dustin David Denicola
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	4950 Essen Ln, Baton Rouge, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dustin David Denicola graduated from nursing school in 2010

NPI Data:

NPI Number: 1073879508
Provider Enumeration Date: 04/10/2012
Last Update Date: 03/23/2017

Medicare PECOS Information:

PECOS PAC ID: 2163679069
Enrollment ID: I20120829000058

Medical Identifiers

Medical identifiers for Dustin David Denicola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073879508	NPI	-	NPPES
2314815	Medicaid	LA
00985562	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN117110-AP06574 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of The Lake Regional Medical Center	Baton rouge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Lake Physician Group Llc	4587849781	521

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. Dustin David Denicola allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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. Dustin David Denicola 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
Dustin David Denicola, NP Po Box 84460, Baton Rouge, LA 70884-4460 Ph: (225) 526-6001	Dustin David Denicola, NP 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 Ph: (225) 490-8882

Reviews and Comments

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Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013
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Dustin David Denicola, NP - Medicare Nurse Practitioner in Baton Rouge, LA