Mark Lidasan, in Missouri City, TX - Medicare Nurse Practitioner

Mark Lidasan, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Missouri City, Texas. His current practice location is 4502 Riverstone Blvd Ste 601, Missouri City, Texas. You can reach out to his office (for appointments etc.) via phone at (281) 778-9530.

Mark Lidasan is licensed to practice in Texas (license number 144499) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396385662.

Contact Information

	Mark Lidasan,
	4502 Riverstone Blvd Ste 601, Missouri City, TX 77459-5205
	(281) 778-9530
	(281) 778-9532

Map and Direction

Provider's Profile

Full Name	Mark Lidasan
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4502 Riverstone Blvd Ste 601, Missouri City, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396385662
Provider Enumeration Date: 01/14/2020
Last Update Date: 02/10/2020

Medicare PECOS Information:

PECOS PAC ID: 8224465562
Enrollment ID: I20200225002880

Medical Identifiers

Medical identifiers for Mark Lidasan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396385662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	144499 (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. Mark Lidasan allows following entities to bill medicare on his behalf.

Entity Name	Altaf Loya Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750590873 PECOS PAC ID: 9335196336 Enrollment ID: O20050401000388

Entity Name	Solace Management Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861053514 PECOS PAC ID: 6901136076 Enrollment ID: O20191003000158

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. Mark Lidasan 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
Mark Lidasan, 4502 Riverstone Blvd Ste 601, Missouri City, TX 77459-5205 Ph: (281) 778-9530	Mark Lidasan, 4502 Riverstone Blvd Ste 601, Missouri City, TX 77459-5205 Ph: (281) 778-9530

Reviews and Comments

Nurse Practitioner Nurses in Missouri City, TX

Abiodun Ajala, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4911 Kirbster Ln, Missouri City, TX 77459 Phone: 832-896-3824
Kayla Marie Crowell, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20303 S University Blvd Ste 101, Missouri City, TX 77459 Phone: 281-208-9503 Fax: 281-208-9504
Jennifer Renee Ha, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3281 Rocky Creek Dr, Missouri City, TX 77459 Phone: 281-916-5656
Tiffiny Dawn Williamson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8810 Highway 6 Ste 100, Missouri City, TX 77459 Phone: 713-486-1200 Fax: 281-778-5345
Augustina Cynthia Njoku-gus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1826 Halstead St, Missouri City, TX 77489 Phone: 713-482-9595
Ammie L Naples, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4318 Creek Point Lane, Missouri City, TX 77459 Phone: 281-972-9602
Aileen Ferrer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4626 Riverstone Blvd, Missouri City, TX 77459 Phone: 281-403-6218

Mark Lidasan, - Medicare Nurse Practitioner in Missouri City, TX