Lisa De La Fuente, CNM - Medicare Advanced Practice Midwife in Corte Madera, CA

Lisa De La Fuente, CNM is a medicare enrolled "Advanced Practice Midwife" in Corte Madera, California. Her current practice location is 30 Seawolf Psge, Corte Madera, California. You can reach out to her office (for appointments etc.) via phone at (415) 271-0979.

Lisa De La Fuente is licensed to practice in California (license number NMW1474) 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 1023038130.

Contact Information

Lisa De La Fuente, CNM
30 Seawolf Psge,
Corte Madera, CA 94925-1823
(415) 271-0979
Not Available



Provider's Profile

Full NameLisa De La Fuente
GenderFemale
SpecialityAdvanced Practice Midwife
Location30 Seawolf Psge, Corte Madera, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023038130
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 11/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2769429646
  • Enrollment ID: I20050412001069

Medical Identifiers

Medical identifiers for Lisa De La Fuente such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023038130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife NMW1474 (California)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 De La Fuente allows following entities to bill medicare on her behalf.
Entity NamePrima Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811217946
PECOS PAC ID: 6406040138
Enrollment ID: O20101027000334

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Entity NameRegents Univ Of California Ucsf
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124439807
PECOS PAC ID: 6305160300
Enrollment ID: O20150122001375

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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 De La Fuente 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
Lisa De La Fuente, CNM
Po Box 254869,
Sacramento, CA 95865-4869

Ph: (916) 854-6975
Lisa De La Fuente, CNM
30 Seawolf Psge,
Corte Madera, CA 94925-1823

Ph: (415) 271-0979

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› Verified 4 days ago


Advanced Practice Midwife Nurses in Corte Madera, CA


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