Dr Lisa Renee Chastant, MD is a medicare enrolled "Dermatology" physician in Biloxi, Mississippi. Her current practice location is
2550 Pass Rd # G, Biloxi, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(228) 207-5140.
Dr Lisa Renee Chastant is licensed to practice in Wisconsin (license number 3284-20) 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 1144545195.
Physician's Profile
| Full Name | Dr Lisa Renee Chastant |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 2550 Pass Rd # G, Biloxi, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144545195
- Provider Enumeration Date: 04/01/2010
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820233794
- Enrollment ID: I20230724000834
Medical Identifiers
Medical identifiers for Dr Lisa Renee Chastant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144545195 | NPI | - | NPPES |
| 1144545195 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 26245 (Mississippi) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 26245 (Mississippi) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | C1-0009800 (Delaware) | Secondary |
| 208D00000X | General Practice | C1-0009800 (Delaware) | Secondary |
| 207N00000X | Dermatology | 3284-20 (Wisconsin) | 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 Renee Chastant allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Bismarck |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811941172
PECOS PAC ID: 9739098575
Enrollment ID: O20031105000403 |
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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 Renee Chastant 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 |
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Dr Lisa Renee Chastant, MD
419 Russell Ave,
Ocean Springs, MS 39564-4727
Ph: () - | Dr Lisa Renee Chastant, MD
2550 Pass Rd # G,
Biloxi, MS 39531-2726
Ph: (228) 207-5140 |
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