Lisa Dinenno, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in La Luz, New Mexico. Her current practice location is
12 Main St Unit 1239, La Luz, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 918-2501.
Lisa Dinenno is licensed to practice in New Mexico (license number CNP-01747) 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 1588957179.
Provider's Profile
Full Name | Lisa Dinenno |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 12 Main St Unit 1239, La Luz, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588957179
- Provider Enumeration Date: 05/16/2011
- Last Update Date: 03/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628248093
- Enrollment ID: I20110823000826
Medical Identifiers
Medical identifiers for Lisa Dinenno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588957179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP-01747 (New Mexico) | 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. Lisa Dinenno allows following entities to bill medicare on her behalf.
Entity Name | Soulcare Integrative Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043016421 PECOS PAC ID: 7012432750 Enrollment ID: O20250416000026 |
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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. Lisa Dinenno 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 |
Lisa Dinenno, CNP 12 Main St Unit 1239, La Luz, NM 88337-1651 Ph: (575) 201-9860 | Lisa Dinenno, CNP 12 Main St Unit 1239, La Luz, NM 88337-1651 Ph: (505) 918-2501 |
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