Miss Lisa M Dimenna, RN, NNP-BC in Tucson, AZ

Miss Lisa M Dimenna, RN, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Tucson, Arizona. Her current practice location is 1501 N Campbell Ave, 3341, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 626-6627.

Miss Lisa M Dimenna is licensed to practice in Arizona (license number RN105827) 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 1013158195.

Contact Information

	Miss Lisa M Dimenna, RN, NNP-BC
	1501 N Campbell Ave, 3341, Tucson, AZ 85724-5073
	(520) 626-6627
	(520) 626-5009

Map and Direction

Provider's Profile

Full Name	Miss Lisa M Dimenna
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	1501 N Campbell Ave, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013158195
Provider Enumeration Date: 03/18/2009
Last Update Date: 07/27/2010

Medicare PECOS Information:

PECOS PAC ID: 6002009966
Enrollment ID: I20101022001377

Medical Identifiers

Medical identifiers for Miss Lisa M Dimenna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013158195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	RN105827 (Arizona)	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. Miss Lisa M Dimenna allows following entities to bill medicare on her behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

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. Miss Lisa M Dimenna 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
Miss Lisa M Dimenna, RN, NNP-BC 1501 N Campbell Ave, Po Box 245073, Tucson, AZ 85724-5073 Ph: (520) 626-6627	Miss Lisa M Dimenna, RN, NNP-BC 1501 N Campbell Ave, 3341, Tucson, AZ 85724-5073 Ph: (520) 626-6627

Reviews and Comments

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Miss Lisa M Dimenna, RN, NNP-BC - Medicare Nurse Practitioner in Tucson, AZ