Mrs Jalisa Marie Dyer, WHNP in Baton Rouge, LA

Mrs Jalisa Marie Dyer, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Baton Rouge, Louisiana. Her current practice location is 3825 Government St, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 387-1167.

Mrs Jalisa Marie Dyer is licensed to practice in Louisiana (license number 214139) 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 1225691769.

Contact Information

	Mrs Jalisa Marie Dyer, WHNP
	3825 Government St, Baton Rouge, LA 70806-5725
	(225) 387-1167
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jalisa Marie Dyer
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	3825 Government St, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225691769
Provider Enumeration Date: 04/19/2019
Last Update Date: 08/16/2020

Medicare PECOS Information:

PECOS PAC ID: 2668863218
Enrollment ID: I20231009002852

Medical Identifiers

Medical identifiers for Mrs Jalisa Marie Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225691769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	903301 (Mississippi)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	903301 (Mississippi)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	214139 (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. Mrs Jalisa Marie Dyer allows following entities to bill medicare on her behalf.

Entity Name	Capitol City Family Health Center Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265548614 PECOS PAC ID: 5193639151 Enrollment ID: O20051130000101

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. Mrs Jalisa Marie Dyer 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
Mrs Jalisa Marie Dyer, WHNP 367 Florida St, Roxie, MS 39661-5003 Ph: (601) 620-8303	Mrs Jalisa Marie Dyer, WHNP 3825 Government St, Baton Rouge, LA 70806-5725 Ph: (225) 387-1167

Reviews and Comments

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Mrs Jalisa Marie Dyer, WHNP - Medicare Nurse Practitioner in Baton Rouge, LA