Lisa De La Fuente, CNM is a medicare enrolled "Advanced Practice Midwife" in Corte Madera, California. Her current practice location is
30 Seawolf Psge, Corte Madera, California. You can reach out to her office (for appointments etc.) via phone at
(415) 271-0979.
Lisa De La Fuente is licensed to practice in California (license number NMW1474) 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 1023038130.
Provider's Profile
Full Name | Lisa De La Fuente |
---|
Gender | Female |
---|
Speciality | Advanced Practice Midwife |
---|
Location | 30 Seawolf Psge, Corte Madera, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023038130
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 11/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 2769429646
- Enrollment ID: I20050412001069
Medical Identifiers
Medical identifiers for Lisa De La Fuente such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023038130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | NMW1474 (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. Lisa De La Fuente allows following entities to bill medicare on her behalf.
Entity Name | Prima Medical Foundation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
---|
Entity Name | Regents Univ Of California Ucsf |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
---|
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. Lisa De La Fuente 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 |
Lisa De La Fuente, CNM Po Box 254869, Sacramento, CA 95865-4869 Ph: (916) 854-6975 | Lisa De La Fuente, CNM 30 Seawolf Psge, Corte Madera, CA 94925-1823 Ph: (415) 271-0979 |
Reviews and Comments