Erica E De Santos, APRN in Altus, OK - Medicare Nurse Practitioner

Erica E De Santos, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Altus, Oklahoma. Her current practice location is 304 S Park Ln Ste B, Altus, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 379-6550.

Erica E De Santos is licensed to practice in Oklahoma (license number 103519) 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 1396355350.

Contact Information

	Erica E De Santos, APRN
	304 S Park Ln Ste B, Altus, OK 73521-5754
	(580) 379-6550
	(580) 379-6559

Map and Direction

Provider's Profile

Full Name	Erica E De Santos
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	304 S Park Ln Ste B, Altus, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396355350
Provider Enumeration Date: 08/05/2020
Last Update Date: 08/05/2020

Medicare PECOS Information:

PECOS PAC ID: 9931526100
Enrollment ID: I20200902001560

Medical Identifiers

Medical identifiers for Erica E De Santos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396355350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	103519 (Oklahoma)	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. Erica E De Santos allows following entities to bill medicare on her behalf.

Entity Name	Altus Premier Health Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528408523 PECOS PAC ID: 9335448752 Enrollment ID: O20160505001401

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. Erica E De Santos 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
Erica E De Santos, APRN Po Box 975, Altus, OK 73522-0975 Ph: (580) 379-6550	Erica E De Santos, APRN 304 S Park Ln Ste B, Altus, OK 73521-5754 Ph: (580) 379-6550

Reviews and Comments

Nurse Practitioner Nurses in Altus, OK

Jonie Gene Lyon, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 416 N Main St, Altus, OK 73521 Phone: 580-379-0925
Brita Marie Angelone, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5690
Alexis Bielski, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Park Ln Ste 100, Altus, OK 73521 Phone: 580-379-6100 Fax: 580-379-6109
Tiffany J Forster, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 N Main St Ste A, Altus, OK 73521 Phone: 580-563-0454 Fax: 580-603-8602
Christina Lee Williamson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1604 N Main St Ste 100, Altus, OK 73521 Phone: 580-482-0721
Jana Finch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 W Tamarack Rd, Altus, OK 73521 Phone: 609-495-4115
Mrs. Cherity Dawn Burrows, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 916 N Main St, Altus, OK 73521 Phone: 580-480-0033

Erica E De Santos, APRN - Medicare Nurse Practitioner in Altus, OK