Shelby Danielle Alexa-dizard, CNM/WHNP, RN - Medicare Nurse Practitioner in Newburgh, NY

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Shelby Danielle Alexa-dizard, CNM/WHNP, RN is a medicare enrolled "Nurse Practitioner - Women's Health" in Newburgh, New York. Her current practice location is 136 Lake St Ste 11, Newburgh, New York. You can reach out to her office (for appointments etc.) via phone at (845) 562-7800.

Shelby Danielle Alexa-dizard is licensed to practice in New York (license number 421498) 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 1770141616.

Contact Information

Shelby Danielle Alexa-dizard, CNM/WHNP, RN
136 Lake St Ste 11,
Newburgh, NY 12550-5245
(845) 562-7800
Not Available

Map and Direction




Provider's Profile

Full NameShelby Danielle Alexa-dizard
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location136 Lake St Ste 11, Newburgh, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770141616
  • Provider Enumeration Date: 06/05/2019
  • Last Update Date: 02/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547597205
  • Enrollment ID: I20190805000745

Medical Identifiers

Medical identifiers for Shelby Danielle Alexa-dizard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770141616NPI-NPPES
001920OtherNYCNM
421498OtherNYWHNP LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 685729 (New York)Secondary
176B00000XMidwife F001920 (New York)Secondary
363LW0102XNurse Practitioner - Women's Health 421498 (New York)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. Shelby Danielle Alexa-dizard allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321
Entity NameSun River Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375
Entity NameMontefiore Nyack Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073881835
PECOS PAC ID: 2668485046
Enrollment ID: O20120216000200
Entity NamePlanned Parenthood Of Greater New York Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417959701
PECOS PAC ID: 7810293297
Enrollment ID: O20160310001603

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. Shelby Danielle Alexa-dizard 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 AddressPractice Location Address
Shelby Danielle Alexa-dizard, CNM/WHNP, RN
86 Sheridan Rd,
Scarsdale, NY 10583-1553

Ph: (734) 972-7686		Shelby Danielle Alexa-dizard, CNM/WHNP, RN
136 Lake St Ste 11,
Newburgh, NY 12550-5245

Ph: (845) 562-7800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.