Dr Lisa Marie Borgealt, DC, APN is a medicare enrolled "Nurse Practitioner" provider in Naperville, Illinois. Her current practice location is
640 S Washington St, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 942-6323.
Dr Lisa Marie Borgealt is licensed to practice in Illinois (license number 209-025425) 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 1003107350.
Healthcare Provider's Profile
| Full Name | Dr Lisa Marie Borgealt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 640 S Washington St, Naperville, Illinois |
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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: 1003107350
- Provider Enumeration Date: 04/20/2011
- Last Update Date: 05/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163807447
- Enrollment ID: I20220922002985
Medical Identifiers
Medical identifiers for Dr Lisa Marie Borgealt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003107350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 0038008429 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209-025425 (Illinois) | 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. Dr Lisa Marie Borgealt allows following entities to bill medicare on her behalf.
| Provider Name | Dupage Medical Group Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20040412001479 |
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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. Dr Lisa Marie Borgealt 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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Dr Lisa Marie Borgealt, DC, APN
Po Box 713260,
Chicago, IL 60677-1950
Ph: (630) 469-9200 | Dr Lisa Marie Borgealt, DC, APN
640 S Washington St,
Naperville, IL 60540-6603
Ph: (815) 942-6323 |
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