Dr Juan Alberto Martin Lissabet, MD - Medicare General Practice in Lake Wales, FL

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Dr Juan Alberto Martin Lissabet, MD is a medicare enrolled "General Practice" physician in Lake Wales, Florida. His current practice location is 684 State Road 60 W, Lake Wales, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 949-4868.

Dr Juan Alberto Martin Lissabet is licensed to practice in Florida (license number ACN955) 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 1649332792.

Contact Information

Dr Juan Alberto Martin Lissabet, MD
684 State Road 60 W,
Lake Wales, FL 33853-4419
(863) 949-4868
(863) 223-8549

Map and Direction




Physician's Profile

Full NameDr Juan Alberto Martin Lissabet
GenderMale
SpecialityGeneral Practice
Location684 State Road 60 W, Lake Wales, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649332792
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 06/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931090636
  • Enrollment ID: I20211216001999

Medical Identifiers

Medical identifiers for Dr Juan Alberto Martin Lissabet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649332792NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ACN955 (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 Juan Alberto Martin Lissabet allows following entities to bill medicare on his behalf.
Entity NameMedical Home Alliance, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740527811
PECOS PAC ID: 6406096536
Enrollment ID: O20130712000249

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 Juan Alberto Martin 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 AddressPractice Location Address
Dr Juan Alberto Martin Lissabet, MD
6675 Westwood Blvd Ste 475,
Orlando, FL 32821-6027

Ph: (407) 845-0330		Dr Juan Alberto Martin Lissabet, MD
684 State Road 60 W,
Lake Wales, FL 33853-4419

Ph: (863) 949-4868

Reviews and Comments


General Practice Doctors in Lake Wales, FL

Jean Fritzner Balan, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Central Ave, Lake Wales, FL 33853
Phone: 866-234-8534    
Dr. Angela Maria Colon Santiago, M.D
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 684 State Road 60 W, Lake Wales, FL 33853
Phone: 863-949-4868    Fax: 863-223-8549
Dr. Nydia Gricelle Deltoro Rivera, MD, WCC. DWC, CWS
General Practice
Medicare: Medicare Enrolled
Practice Location: 1120 Carlton Ave, Lake Wales, FL 33853
Phone: 863-270-4546    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.