Dr Adonis John Lysandrou, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Saint Cloud, Florida. His current practice location is
1330 Budinger Ave Ste 206, Saint Cloud, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 498-3763.
Dr Adonis John Lysandrou is licensed to practice in Florida (license number ME 116653) 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 1881989598.
Physician's Profile
| Full Name | Dr Adonis John Lysandrou |
|---|
| Gender | Male |
|---|
| Speciality | Surgery - Vascular Surgery |
|---|
| Location | 1330 Budinger Ave Ste 206, Saint Cloud, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1881989598
- Provider Enumeration Date: 06/10/2011
- Last Update Date: 06/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143464578
- Enrollment ID: I20130924000922
Medical Identifiers
Medical identifiers for Dr Adonis John Lysandrou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881989598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | ME 116653 (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. Dr Adonis John Lysandrou allows following entities to bill medicare on his behalf.
| Entity Name | St Cloud Physician Management Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245289578
PECOS PAC ID: 2365545662
Enrollment ID: O20070306000696 |
|---|
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 Adonis John Lysandrou 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 |
|---|
Dr Adonis John Lysandrou, MD
1330 Budinger Ave Ste 108,
Saint Cloud, FL 34769-4137
Ph: (407) 498-3763 | Dr Adonis John Lysandrou, MD
1330 Budinger Ave Ste 206,
Saint Cloud, FL 34769-4137
Ph: (407) 498-3763 |
Reviews and Comments