Kristine Grace Lee Dizon, FNP-C - Medicare Nurse Practitioner in Covina, CA

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Kristine Grace Lee Dizon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Covina, California. Her current practice location is 110 N 4th Ave, Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 859-6400.

Kristine Grace Lee Dizon is licensed to practice in California (license number NP95007409) 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 1336649060.

Contact Information

Kristine Grace Lee Dizon, FNP-C
110 N 4th Ave,
Covina, CA 91723-1825
(626) 859-6400
Not Available

Map and Direction




Provider's Profile

Full NameKristine Grace Lee Dizon
GenderFemale
SpecialityNurse Practitioner - Family
Location110 N 4th Ave, Covina, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336649060
  • Provider Enumeration Date: 02/19/2018
  • Last Update Date: 02/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436495173
  • Enrollment ID: I20190116003172

Medical Identifiers

Medical identifiers for Kristine Grace Lee Dizon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336649060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95007409 (California)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. Kristine Grace Lee Dizon allows following entities to bill medicare on her behalf.
Entity NameRadhika Tulpule Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336196864
PECOS PAC ID: 2668480799
Enrollment ID: O20060330000407

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. Kristine Grace Lee Dizon 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 AddressPractice Location Address
Kristine Grace Lee Dizon, FNP-C
14896 Oak Leaf Dr,
Corona, CA 92880-1049

Ph: () -		Kristine Grace Lee Dizon, FNP-C
110 N 4th Ave,
Covina, CA 91723-1825

Ph: (626) 859-6400

Reviews and Comments


Nurse Practitioner Nurses in Covina, CA

Maria Theresa Lee Belonio, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 970 S Village Oaks Dr Ste 106, Covina, CA 91724
Phone: 626-331-8001    
Na Yeon Han, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 110 N 4th Ave, Covina, CA 91723
Phone: 626-859-6400    
Mrs. Manmit Kaur Anand, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 20540 E Arrow Hwy Ste A, Covina, CA 91724
Phone: 626-513-7497    Fax: 626-513-7497
Stephanie Huynh,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 235 E Badillo St, Covina, CA 91723
Phone: 626-915-4700    
Laura Jimenez, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 W Rowland St, Covina, CA 91723
Phone: 626-331-6411    Fax: 626-251-1560
Benjamin Herrick, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 W San Bernardino Rd, Covina, CA 91723
Phone: 626-331-7331    
Bethany Shavon Sims, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 W San Bernardino Rd Ste B, Covina, CA 91722
Phone: 626-960-2326    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.