Diane L Duntze, ANP is a medicare enrolled "Nurse Practitioner" in Gakona, Alaska. Her current practice location is
Hc 1 Box 335, Gakona, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 822-3937.
Diane L Duntze is licensed to practice in Alaska (license number 686) 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 1609990670.
Provider's Profile
| Full Name | Diane L Duntze |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | Hc 1 Box 335, Gakona, Alaska |
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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: 1609990670
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395926224
- Enrollment ID: I20110225000357
Medical Identifiers
Medical identifiers for Diane L Duntze such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609990670 | NPI | - | NPPES |
| NP02473 | Medicaid | AK | |
| 02D1010983 | Other | AK | CLIA# |
| 686 | Other | AK | ANP LICENSE # |
| NP02472 | Medicaid | AK | |
| NP02471 | Medicaid | AK | |
| PH02473 | Medicaid | AK | |
| 11406 | Other | AK | REGISTERED NURSE |
| K151740 | Other | AK | MEDICARE PTAN |
| NP0247 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 686 (Alaska) | 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 L Duntze allows following entities to bill medicare on her behalf.
| Entity Name | Cross Road Health Ministries Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609871391
PECOS PAC ID: 4688587348
Enrollment ID: O20040401001184 |
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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 L Duntze 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 L Duntze, ANP
Hc 1 Box 335,
Gakona, AK 99586-9702
Ph: (907) 822-3937 | Diane L Duntze, ANP
Hc 1 Box 335,
Gakona, AK 99586-9702
Ph: (907) 822-3937 |
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