Ms Debra Ann Equihua, CNM is a medicare enrolled "Advanced Practice Midwife" in Gary, Indiana. Her current practice location is
2269 W 25th Ave, Gary, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 944-4187.
Ms Debra Ann Equihua is licensed to practice in Indiana (license number 72000093A) 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 1396819355.
Provider's Profile
| Full Name | Ms Debra Ann Equihua |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2269 W 25th Ave, Gary, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396819355
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 10/31/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709851611
- Enrollment ID: I20040901001197
Medical Identifiers
Medical identifiers for Ms Debra Ann Equihua such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396819355 | NPI | - | NPPES |
| 200461140 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 72000093A (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. Ms Debra Ann Equihua allows following entities to bill medicare on her behalf.
| Entity Name | The Methodist Hospitals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720290349
PECOS PAC ID: 9638063894
Enrollment ID: O20040210000526 |
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| Entity Name | Porter-starke Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689627598
PECOS PAC ID: 1951293554
Enrollment ID: O20040330000098 |
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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. Ms Debra Ann Equihua 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 |
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Ms Debra Ann Equihua, CNM
2269 W 25th Ave,
Gary, IN 46404-3367
Ph: (219) 944-4187 | Ms Debra Ann Equihua, CNM
2269 W 25th Ave,
Gary, IN 46404-3367
Ph: (219) 944-4187 |
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