Diane E Basich, APN is a medicare enrolled "Nurse Practitioner - Family" in Titusville, New Jersey. Her current practice location is
1125 Trenton Harbourton Rd, Titusville, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 730-2035.
Diane E Basich is licensed to practice in New Jersey (license number 26NJ00968000) 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 1417598335.
Provider's Profile
| Full Name | Diane E Basich |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1125 Trenton Harbourton Rd, Titusville, New Jersey |
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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: 1417598335
- Provider Enumeration Date: 10/02/2019
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961831896
- Enrollment ID: I20200329000099
Medical Identifiers
Medical identifiers for Diane E Basich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417598335 | NPI | - | NPPES |
| 0724157 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26NJ00968000 (New Jersey) | 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. Diane E Basich allows following entities to bill medicare on her behalf.
| Entity Name | Act On Total Health Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952992455
PECOS PAC ID: 6608284674
Enrollment ID: O20210413001435 |
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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. Diane E Basich 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 |
|---|
Diane E Basich, APN
1125 Trenton Harbourton Rd,
Titusville, NJ 08560-1504
Ph: (609) 730-2035 | Diane E Basich, APN
1125 Trenton Harbourton Rd,
Titusville, NJ 08560-1504
Ph: (609) 730-2035 |
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