Darvis Eduardo Dager Lissabet, MD in Fort Myers, FL

Darvis Eduardo Dager Lissabet, MD is a medicare enrolled "General Practice" physician in Fort Myers, Florida. His current practice location is 2621 Cleveland Ave, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (787) 658-0200.

Darvis Eduardo Dager Lissabet is licensed to practice in Florida (license number 1654) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720765506.

Contact Information

	Darvis Eduardo Dager Lissabet, MD
	2621 Cleveland Ave, Fort Myers, FL 33901-5802
	(787) 658-0200
	(787) 658-0640

Map and Direction

Physician's Profile

Full Name	Darvis Eduardo Dager Lissabet
Gender	Male
Speciality	General Practice
Location	2621 Cleveland Ave, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720765506
Provider Enumeration Date: 07/03/2023
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9335672419
Enrollment ID: I20241028003072

Medical Identifiers

Medical identifiers for Darvis Eduardo Dager Lissabet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720765506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	16810 (Puerto Rico)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208D00000X	General Practice	1654 (Florida)	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. Darvis Eduardo Dager Lissabet allows following entities to bill medicare on his behalf.

Entity Name	Prime Life Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821869389 PECOS PAC ID: 5092153940 Enrollment ID: O20240410003840

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. Darvis Eduardo Dager Lissabet 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
Darvis Eduardo Dager Lissabet, MD 9121 W Sunrise Blvd, Plantation, FL 33322-5273 Ph: (954) 624-5155	Darvis Eduardo Dager Lissabet, MD 2621 Cleveland Ave, Fort Myers, FL 33901-5802 Ph: (787) 658-0200

Reviews and Comments

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Darvis Eduardo Dager Lissabet, MD - Medicare General Practice in Fort Myers, FL