Lisa M Ducommun, CNP is a medicare enrolled "Clinical Nurse Specialist" in Cherokee, Iowa. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sioux Valley Memorial Hospital Association and her current practice location is
300 Sioux Valley Dr, Cherokee, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 225-6265.
Lisa M Ducommun is licensed to practice in Iowa (license number A-097930) 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 1023105616.
Provider's Profile
| Full Name | Lisa M Ducommun |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 300 Sioux Valley Dr, Cherokee, Iowa |
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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:
- Lisa M Ducommun graduated from nursing school in 2006
NPI Data:
- NPI Number: 1023105616
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 10/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 8325048069
- Enrollment ID: I20070115000298
Medical Identifiers
Medical identifiers for Lisa M Ducommun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023105616 | NPI | - | NPPES |
| A-097930 | Other | IA | IOWA LICENSE |
| 0560631 | Medicaid | IA | |
| 27781 | Other | IA | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364S00000X | Clinical Nurse Specialist | A-097930 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sioux Valley Memorial Hospital Association | 4880501881 | 18 |
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 M Ducommun allows following entities to bill medicare on her behalf.
| Entity Name | Sioux Valley Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083610190
PECOS PAC ID: 4880501881
Enrollment ID: O20040317001463 |
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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 M Ducommun 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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Lisa M Ducommun, CNP
300 Sioux Valley Dr,
Cherokee, IA 51012-1205
Ph: (712) 225-6265 | Lisa M Ducommun, CNP
300 Sioux Valley Dr,
Cherokee, IA 51012-1205
Ph: (712) 225-6265 |
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