Dr Lisa Chandler, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Olive Branch, Mississippi. Her current practice location is
4250 Bethel Rd Dept Of, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(901) 516-7084.
Dr Lisa Chandler is licensed to practice in Mississippi (license number 11707) 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 1780787143.
Physician's Profile
Full Name | Dr Lisa Chandler |
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Gender | Female |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 4250 Bethel Rd Dept Of, Olive Branch, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780787143
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 10/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022134204
- Enrollment ID: I20100924000669
Medical Identifiers
Medical identifiers for Dr Lisa Chandler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780787143 | NPI | - | NPPES |
00123848 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 11707 (Mississippi) | 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 Chandler allows following entities to bill medicare on her behalf.
Entity Name | Pathology Specialists Of Memphis Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437817491 PECOS PAC ID: 5193117364 Enrollment ID: O20220120000409 |
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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 Chandler 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 Lisa Chandler, MD 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: (901) 478-0954 | Dr Lisa Chandler, MD 4250 Bethel Rd Dept Of, Olive Branch, MS 38654-8737 Ph: (901) 516-7084 |
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