Lydia Helen Nefedov, MSN, AGNP-BC in San Antonio, TX

Lydia Helen Nefedov, MSN, AGNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in San Antonio, Texas. Her current practice location is 3463 Magic Dr Ste T21, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 614-8101.

Lydia Helen Nefedov is licensed to practice in Indiana (license number 71013911A) 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 1902349772.

Contact Information

	Lydia Helen Nefedov, MSN, AGNP-BC
	3463 Magic Dr Ste T21, San Antonio, TX 78229-3621
	(210) 614-8101
	Not Available

Map and Direction

Provider's Profile

Full Name	Lydia Helen Nefedov
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	3463 Magic Dr Ste T21, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902349772
Provider Enumeration Date: 11/28/2016
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5092096206
Enrollment ID: I20161230001246

Medical Identifiers

Medical identifiers for Lydia Helen Nefedov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902349772	NPI	-	NPPES
090540884	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1075580 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	APRN002369 (Nevada)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	71013911A (Indiana)	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. Lydia Helen Nefedov allows following entities to bill medicare on her behalf.

Entity Name	Michael B Jacobs
Entity Type	Practitioner - Internal Medicine
Entity Identifiers	NPI Number: 1053300913 PECOS PAC ID: 4880611664 Enrollment ID: I20051101000003

Entity Name	Dignity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720358039 PECOS PAC ID: 2062320559 Enrollment ID: O20121008000152

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. Lydia Helen Nefedov 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
Lydia Helen Nefedov, MSN, AGNP-BC 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Lydia Helen Nefedov, MSN, AGNP-BC 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 Ph: (210) 614-8101

Reviews and Comments

Nurse Practitioner Nurses in San Antonio, TX

Mrs. Kimberly Anne Lucas Slimane, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Spurs Ln Ste 230b, San Antonio, TX 78240 Phone: 210-690-7400 Fax: 210-690-7405
Kathleen Marie Cox, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8401 Datapoint Dr Ste 421, San Antonio, TX 78229 Phone: 210-558-1800 Fax: 800-825-8907
Ms. Amber Renee Hoberg, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7622 Louis Pasteur Dr, Ste 100, San Antonio, TX 78229 Phone: 210-614-7840 Fax: 210-562-2252
Elizabeth Marie Hernandez, RN, MSN, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4503 S Zarzamora St, San Antonio, TX 78211 Phone: 210-644-8600 Fax: 210-644-8625
Elizabeth A Hallman, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300
Carlee D Dunlap, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5107 Medical Dr, San Antonio, TX 78229 Phone: 210-614-8612 Fax: 210-692-8852
Nena Tiukinhoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13423 Blanco Rd # 529, San Antonio, TX 78216 Phone: 908-659-8872 Fax: 877-353-9156

Lydia Helen Nefedov, MSN, AGNP-BC - Medicare Nurse Practitioner in San Antonio, TX