Mrs Dorrena Lea Deck, CNP is a medicare enrolled "Nurse Practitioner - Family" in Clarksville, Ohio. Her current practice location is
341 E. Main St., Clarksville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 289-2455.
Mrs Dorrena Lea Deck is licensed to practice in Ohio (license number NP-04250) 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 1609939222.
Provider's Profile
Full Name | Mrs Dorrena Lea Deck |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 341 E. Main St., Clarksville, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609939222
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 04/28/2009
Medicare PECOS Information:
- PECOS PAC ID: 0749280204
- Enrollment ID: I20070105000469
Medical Identifiers
Medical identifiers for Mrs Dorrena Lea Deck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609939222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | NP-04250 (Ohio) | 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. Mrs Dorrena Lea Deck allows following entities to bill medicare on her behalf.
Entity Name | Main Medical, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124110606 PECOS PAC ID: 7517990591 Enrollment ID: O20050912000776 |
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Entity Name | Highland Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619283173 PECOS PAC ID: 2365630183 Enrollment ID: O20101221000660 |
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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. Mrs Dorrena Lea Deck 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 |
Mrs Dorrena Lea Deck, CNP 3526 Antioch Rd, Wilmington, OH 45177-8745 Ph: (937) 382-5311 | Mrs Dorrena Lea Deck, CNP 341 E. Main St., Clarksville, OH 45113 Ph: (937) 289-2455 |
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