Mrs Desiree Ann Basmayor Teleron-walhovd, MSN,FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dallas Center, Iowa. Her current practice location is
1204 Linden St, Dallas Center, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 992-3735.
Mrs Desiree Ann Basmayor Teleron-walhovd is licensed to practice in Iowa (license number A182238) 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 1740005685.
Provider's Profile
| Full Name | Mrs Desiree Ann Basmayor Teleron-walhovd |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1204 Linden St, Dallas Center, Iowa |
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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: 1740005685
- Provider Enumeration Date: 11/16/2024
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113444217
- Enrollment ID: I20250512001217
Medical Identifiers
Medical identifiers for Mrs Desiree Ann Basmayor Teleron-walhovd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740005685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 165490 (Iowa) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A182238 (Iowa) | 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. Mrs Desiree Ann Basmayor Teleron-walhovd allows following entities to bill medicare on her behalf.
| Entity Name | Hy-vee Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558086637
PECOS PAC ID: 1254701618
Enrollment ID: O20221228002340 |
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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. Mrs Desiree Ann Basmayor Teleron-walhovd 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 |
|---|
Mrs Desiree Ann Basmayor Teleron-walhovd, MSN,FNP-C
121 Saint Marys Ct,
Stuart, IA 50250-8601
Ph: (515) 802-6600 | Mrs Desiree Ann Basmayor Teleron-walhovd, MSN,FNP-C
1204 Linden St,
Dallas Center, IA 50063-1052
Ph: (515) 992-3735 |
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