Ms Dana Marie Laise, CNM is a medicare enrolled "Midwife" in Nyack, New York. Her current practice location is
258 High Ave, Nyack, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 348-2550.
Ms Dana Marie Laise is licensed to practice in New York (license number F001647-1) 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 1538411749.
Provider's Profile
| Full Name | Ms Dana Marie Laise |
|---|
| Gender | Female |
|---|
| Speciality | Midwife |
|---|
| Location | 258 High Ave, Nyack, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1538411749
- Provider Enumeration Date: 10/11/2012
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294046165
- Enrollment ID: I20150618001414
Medical Identifiers
Medical identifiers for Ms Dana Marie Laise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538411749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 709342-1 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | MW010286 (Pennsylvania) | Secondary |
| 176B00000X | Midwife | F001647-1 (New York) | 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. Ms Dana Marie Laise allows following entities to bill medicare on her behalf.
| Entity Name | Highland Medical P.c. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376600304
PECOS PAC ID: 2668370420
Enrollment ID: O20031230000737 |
|---|
| Entity Name | Ob-gyn Associates Of Ithaca, Llp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1437229945
PECOS PAC ID: 5092780213
Enrollment ID: O20040901000086 |
|---|
| Entity Name | Ahava Medical And Rehabilitation Center, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1184878274
PECOS PAC ID: 1557416997
Enrollment ID: O20090908000443 |
|---|
| Entity Name | Montefiore Nyack Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073881835
PECOS PAC ID: 2668485046
Enrollment ID: O20120216000200 |
|---|
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. Ms Dana Marie Laise 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 |
|---|
Ms Dana Marie Laise, CNM
707 E Main St,
Middletown, NY 10940-2650
Ph: (845) 333-7575 | Ms Dana Marie Laise, CNM
258 High Ave,
Nyack, NY 10960-2407
Ph: (845) 348-2550 |
Reviews and Comments