Kristine Grace Lee Dizon, FNP-C in Covina, CA

Kristine Grace Lee Dizon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Covina, California. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Radhika Tulpule Md Inc and her current practice location is 110 N 4th Ave, Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 859-6400.

Kristine Grace Lee Dizon is licensed to practice in California (license number NP95007409) 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 1336649060.

Contact Information

	Kristine Grace Lee Dizon, FNP-C
	110 N 4th Ave, Covina, CA 91723-1825
	(626) 859-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristine Grace Lee Dizon
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	110 N 4th Ave, Covina, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristine Grace Lee Dizon graduated from nursing school in 2017

NPI Data:

NPI Number: 1336649060
Provider Enumeration Date: 02/19/2018
Last Update Date: 02/19/2018

Medicare PECOS Information:

PECOS PAC ID: 9436495173
Enrollment ID: I20190116003172

Medical Identifiers

Medical identifiers for Kristine Grace Lee Dizon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336649060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95007409 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emanate Health Inter-community Hospital	Covina, CA	Hospital
Emanate Health Foothill Presbyterian Hospital	Glendora, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radhika Tulpule Md Inc	2668480799	3

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. Kristine Grace Lee Dizon allows following entities to bill medicare on her behalf.

Entity Name	Radhika Tulpule Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336196864 PECOS PAC ID: 2668480799 Enrollment ID: O20060330000407

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. Kristine Grace Lee Dizon 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
Kristine Grace Lee Dizon, FNP-C 14896 Oak Leaf Dr, Corona, CA 92880-1049 Ph: () -	Kristine Grace Lee Dizon, FNP-C 110 N 4th Ave, Covina, CA 91723-1825 Ph: (626) 859-6400

Reviews and Comments

Nurse Practitioner Nurses in Covina, CA

Maria Theresa Lee Belonio, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 S Village Oaks Dr Ste 106, Covina, CA 91724 Phone: 626-331-8001
Jaspreet Kaur Sidhu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1029 N Bender Ave, Covina, CA 91724 Phone: 626-523-1663
Na Yeon Han, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N 4th Ave, Covina, CA 91723 Phone: 626-859-6400
Andy Wu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1381 N Sunflower Ave, Covina, CA 91724 Phone: 626-488-1802
Kayla Marie Garcia, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 W Badillo St Ste 200, Covina, CA 91723 Phone: 626-335-1082
Victoria Li, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 W San Bernardino Rd, Covina, CA 91723 Phone: 626-331-7331
Stephanie E Fletes, CNM-WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 W Workman St, Covina, CA 91723 Phone: 626-627-3402

Kristine Grace Lee Dizon, FNP-C - Medicare Nurse Practitioner in Covina, CA