Ida Madoka Lightfoot, RN, PMHNP in Plano, TX - Medicare Nurse Practitioner

Ida Madoka Lightfoot, RN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Plano, Texas. Her current practice location is 6404 International Pkwy Ste 1010, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 267-1988.

Ida Madoka Lightfoot is licensed to practice in Texas (license number 593409) 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 1851397046.

Contact Information

	Ida Madoka Lightfoot, RN, PMHNP
	6404 International Pkwy Ste 1010, Plano, TX 75093-8346
	(972) 267-1988
	Not Available

Map and Direction

Provider's Profile

Full Name	Ida Madoka Lightfoot
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6404 International Pkwy Ste 1010, Plano, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851397046
Provider Enumeration Date: 06/22/2005
Last Update Date: 07/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7719261858
Enrollment ID: I20170308002576

Medical Identifiers

Medical identifiers for Ida Madoka Lightfoot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851397046	NPI	-	NPPES
368676801	Medicaid	TX
P94062	Other	TX	MEDICARE UPIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	593409 (Texas)	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. Ida Madoka Lightfoot allows following entities to bill medicare on her behalf.

Entity Name	Psychiatric Medical Associates, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508902149 PECOS PAC ID: 5597852749 Enrollment ID: O20071105000145

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. Ida Madoka Lightfoot 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
Ida Madoka Lightfoot, RN, PMHNP 1241 Forest Park Dr, Weatherford, TX 76087-2805 Ph: (817) 821-9978	Ida Madoka Lightfoot, RN, PMHNP 6404 International Pkwy Ste 1010, Plano, TX 75093-8346 Ph: (972) 267-1988

Reviews and Comments

Nurse Practitioner Nurses in Plano, TX

Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640

Ida Madoka Lightfoot, RN, PMHNP - Medicare Nurse Practitioner in Plano, TX