Lyza Tennille Gaines, CRNP in Fort Payne, AL - Medicare Nurse Practitioner

Lyza Tennille Gaines, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fort Payne, Alabama. Her current practice location is 415 Medical Center Dr Sw, Fort Payne, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 997-2820.

Lyza Tennille Gaines is licensed to practice in Alabama (license number 1-091459) 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 1518912369.

Contact Information

	Lyza Tennille Gaines, CRNP
	415 Medical Center Dr Sw, Fort Payne, AL 35968-3421
	(256) 997-2820
	(256) 997-2890

Map and Direction

Provider's Profile

Full Name	Lyza Tennille Gaines
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	415 Medical Center Dr Sw, Fort Payne, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518912369
Provider Enumeration Date: 05/23/2006
Last Update Date: 09/26/2012

Medicare PECOS Information:

PECOS PAC ID: 1658366810
Enrollment ID: I20040416001243

Medical Identifiers

Medical identifiers for Lyza Tennille Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518912369	NPI	-	NPPES
051533716	Medicaid	AL
515-33716	Other	AL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	1-091459 (Alabama)	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. Lyza Tennille Gaines allows following entities to bill medicare on her behalf.

Entity Name	Fort Payne Rhc Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184679938 PECOS PAC ID: 6103838107 Enrollment ID: O20060614000103

Entity Name	Hh Health System-dekalb Rhc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053172874 PECOS PAC ID: 2769822568 Enrollment ID: O20240426001831

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. Lyza Tennille Gaines 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
Lyza Tennille Gaines, CRNP 415 Medical Center Dr Sw, Fort Payne, AL 35968-3421 Ph: (256) 997-2820	Lyza Tennille Gaines, CRNP 415 Medical Center Dr Sw, Fort Payne, AL 35968-3421 Ph: (256) 997-2820

Reviews and Comments

Nurse Practitioner Nurses in Fort Payne, AL

Shannon Hilley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Gault Ave N Ste 200, Fort Payne, AL 35967 Phone: 256-997-2855
Lauren Obenlander, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Jordan Rd Sw Ste 300, Fort Payne, AL 35968 Phone: 256-844-2911
Jennifer Frances Hand, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900
Corazon P Alvarado, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2202 Jordan Rd Sw, Fort Payne, AL 35968 Phone: 256-844-2825 Fax: 256-844-1804
Janna Kay Culpepper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900 Fax: 888-977-1691
Micah Miranda Hilyer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3840 Gault Ave N, Fort Payne, AL 35967 Phone: 256-844-4975 Fax: 256-844-4978
Sarah Elizabeth Gilreath, MSN, PMHNP-BC, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900

Lyza Tennille Gaines, CRNP - Medicare Nurse Practitioner in Fort Payne, AL