Alicja D Lisak, MD in Menomonee Falls, WI

Alicja D Lisak, MD is a medicare enrolled "Family Medicine" physician in Menomonee Falls, Wisconsin. Her current practice location is W129n7055 Northfield Dr, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 253-5400.

Alicja D Lisak is licensed to practice in New York (license number 204136) 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 1295737823.

Contact Information

	Alicja D Lisak, MD
	W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538
	(262) 253-5400
	Not Available

Map and Direction

Physician's Profile

Full Name	Alicja D Lisak
Gender	Female
Speciality	Family Medicine
Location	W129n7055 Northfield Dr, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295737823
Provider Enumeration Date: 08/12/2005
Last Update Date: 08/05/2014

Medicare PECOS Information:

PECOS PAC ID: 8628177805
Enrollment ID: I20100818000977

Medical Identifiers

Medical identifiers for Alicja D Lisak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295737823	NPI	-	NPPES
1295737823	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	204136 (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. Alicja D Lisak allows following entities to bill medicare on her behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Alicja D Lisak 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
Alicja D Lisak, MD W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: (262) 253-5400	Alicja D Lisak, MD W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: (262) 253-5400

Reviews and Comments

Family Medicine Doctors in Menomonee Falls, WI

Janell R Schulteis-wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-251-7128
Dr. Neil Hyde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-532-3265
Jennifer Weisgerber, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500
Jeremy D. Topp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 252-251-7500 Fax: 262-251-7128
Dr. Karin Preethishia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Town Hall Health Center Family Medicine, 4th Floor, W180 N8000 Town Hall Road, Menomonee Falls, WI 53051 Phone: 262-532-3265
Mayowa Olalekan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-532-3265
Ada Ural Celik, DO Family Medicine Medicare: Medicare Enrolled Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500

Alicja D Lisak, MD - Medicare Family Medicine in Menomonee Falls, WI