Dr Lisa Eleanor Jefferson, DO - Medicare Family Medicine in Portsmouth, VA

  1. Home
  2. Family Medicine
  3. VA
  4. Portsmouth
Dr Lisa Eleanor Jefferson, DO is a medicare enrolled "Family Medicine" physician in Portsmouth, Virginia. Her current practice location is 4106 Portsmouth Blvd, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 393-1136.

Dr Lisa Eleanor Jefferson is licensed to practice in Virginia (license number 0102050078) 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 1578502969.

Contact Information

Dr Lisa Eleanor Jefferson, DO
4106 Portsmouth Blvd,
Portsmouth, VA 23701-2968
(757) 393-1136
(757) 698-2499

Map and Direction




Physician's Profile

Full NameDr Lisa Eleanor Jefferson
GenderFemale
SpecialityFamily Medicine
Location4106 Portsmouth Blvd, Portsmouth, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578502969
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 12/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335240316
  • Enrollment ID: I20070720000148

Medical Identifiers

Medical identifiers for Dr Lisa Eleanor Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578502969NPI-NPPES
54208OtherVAOPTIMA HEALTH
219614OtherVAANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0102050078 (Virginia)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 Eleanor Jefferson allows following entities to bill medicare on her behalf.
Entity NameBayview Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508813387
PECOS PAC ID: 5597664201
Enrollment ID: O20031231000719
Entity NameJencare Neighborhood Medical Norfolk Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184918864
PECOS PAC ID: 8820268477
Enrollment ID: O20110908002311
Entity NameVirginia Care Coordination Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578085155
PECOS PAC ID: 6507119690
Enrollment ID: O20181018001706
Entity NamePmr Virginia Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083167001
PECOS PAC ID: 9537576608
Enrollment ID: O20210408000505
Entity NameCh Specialty Services Va Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538868435
PECOS PAC ID: 5890150031
Enrollment ID: O20230424000813

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 Eleanor Jefferson 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 Lisa Eleanor Jefferson, DO
4106 Portsmouth Blvd,
Portsmouth, VA 23701-2968

Ph: (757) 393-1136		Dr Lisa Eleanor Jefferson, DO
4106 Portsmouth Blvd,
Portsmouth, VA 23701-2968

Ph: (757) 393-1136

Reviews and Comments


Family Medicine Doctors in Portsmouth, VA

Dr. Margaret A Baumgarten, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3640 High St Ste 3b, Portsmouth, VA 23707
Phone: 757-397-6344    Fax: 757-606-1185
Dr. Chung U Chung, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2595 Victory Blvd, Portsmouth, VA 23702
Phone: 757-487-4949    Fax: 757-487-5265
Dr. Himani Bhasin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707
Phone: 757-264-5913    
Dr. Peter D Sherrod, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-2386    
Dr. Franklin M Soriano Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4725 Portsmouth Blvd, Portsmouth, VA 23701
Phone: 757-488-6400    Fax: 757-488-2572
Dr. Jose Hiram Rodriguez, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701
Phone: 757-393-1136    Fax: 757-698-2499
Kathleen Tilman, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-7550    

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.