Elyse L Diewald, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Laporte, Colorado. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Health Physicians Colorado Llc, Select Physical Therapy Holdings Inc and her current practice location is
3817 W County Road 54g, Laporte, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 472-2001.
Elyse L Diewald is licensed to practice in Colorado (license number APN.0997806-NP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679200497.
Provider's Profile
| Full Name | Elyse L Diewald |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3817 W County Road 54g, Laporte, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elyse L Diewald graduated from nursing school in 2022
NPI Data:
- NPI Number: 1679200497
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567832470
- Enrollment ID: I20230110000613
Medical Identifiers
Medical identifiers for Elyse L Diewald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679200497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN.0997806-NP (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Banner Health Physicians Colorado Llc | 8921273038 | 267 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
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. Elyse L Diewald allows following entities to bill medicare on her behalf.
| Entity Name | Banner Health Physicians Colorado Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073899134
PECOS PAC ID: 8921273038
Enrollment ID: O20111219000237 |
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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. Elyse L Diewald 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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Elyse L Diewald, FNP-C
3817 W County Road 54g,
Laporte, CO 80535-9360
Ph: (970) 472-2001 | Elyse L Diewald, FNP-C
3817 W County Road 54g,
Laporte, CO 80535-9360
Ph: (970) 472-2001 |
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