Dawn Lisa Lidstone, FNP - Medicare Nurse Practitioner in Canaan, CT

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Dawn Lisa Lidstone, FNP is a medicare enrolled "Nurse Practitioner - Family" in Canaan, Connecticut. Her current practice location is 76 Church St, Canaan, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 624-0731.

Dawn Lisa Lidstone is licensed to practice in Connecticut (license number 007744) 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 1922403542.

Contact Information

Dawn Lisa Lidstone, FNP
76 Church St,
Canaan, CT 06018-2447
(860) 624-0731
Not Available

Map and Direction




Provider's Profile

Full NameDawn Lisa Lidstone
GenderFemale
SpecialityNurse Practitioner - Family
Location76 Church St, Canaan, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922403542
  • Provider Enumeration Date: 10/24/2014
  • Last Update Date: 06/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456678424
  • Enrollment ID: I20150401000459

Medical Identifiers

Medical identifiers for Dawn Lisa Lidstone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922403542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 007744 (Connecticut)Primary
163WG0000XRegistered Nurse - General Practice 087663 (Connecticut)Secondary
163WG0000XRegistered Nurse - General Practice 284722 (Massachusetts)Secondary
163WG0000XRegistered Nurse - General Practice 679700-1 (New York)Secondary

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. Dawn Lisa Lidstone allows following entities to bill medicare on her behalf.
Entity NameSun River Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375

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. Dawn Lisa Lidstone 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 AddressPractice Location Address
Dawn Lisa Lidstone, FNP
Po Box 438,
Southfield, MA 01259-0438

Ph: (413) 854-1815		Dawn Lisa Lidstone, FNP
76 Church St,
Canaan, CT 06018-2447

Ph: (860) 624-0731

Reviews and Comments


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Sarah Hoyle, APRN
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Practice Location: 187 S Canaan Rd, Canaan, CT 06018
Phone: 860-362-5233    
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Namuna Kharal,
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Practice Location: 99 S Canaan Rd, Canaan, CT 06018
Phone: 860-824-5137    
Zachary Farrell,
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Medicare: Not Enrolled in Medicare
Practice Location: 187 S Canaan Rd, Canaan, CT 06018
Phone: 860-824-1397    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.