Diana Louise Lewis, NP is a
Nurse Practitioner - Family based in Ocate, New Mexico. Diana Louise Lewis is licensed to practice in New Mexico (license number R24775) and her current practice location is
Nm State Highway 120,, Mile Marker 12.5, Ocate, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 666-2475.
NPI number for Diana Louise Lewis is 1043201056 and her current mailing address is Nm Highway 120 @mile Marker 12.5, South Side Of Highway, P.o. Box 203, Ocate, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043201056.
Provider's Profile
| Full Name | Diana Louise Lewis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | Nm State Highway 120,, Ocate, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043201056
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 06/27/2011
Medical Identifiers
Medical identifiers for Diana Louise Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043201056 | NPI | - | NPPES |
| NM400019 | Other | NM | INDIVIDUAL PTAN |
| NMB2163 | Other | NM | GROUP PTAN NMB2163 |
| 22002570 | Medicaid | NM | |
| 41903765 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R24775 (New Mexico) | Primary |
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. Diana Louise Lewis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diana Louise Lewis, NP
Nm Highway 120 @mile Marker 12.5, South Side Of Highway, P.o. Box 203,
Ocate, NM 87734
Ph: (505) 666-2475 | Diana Louise Lewis, NP
Nm State Highway 120,, Mile Marker 12.5,
Ocate, NM 87734
Ph: (505) 666-2475 |
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