Dr Lisa Haller, MD - Medicare Nephrology in Glendale, WI

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Dr Lisa Haller, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Glendale, Wisconsin. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1995 and has 29 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Aurora Advanced Healthcare Inc, Milwaukee Nephrologists Sc and her current practice location is 5650 N Green Bay Ave Ste 210, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 431-5971.

Dr Lisa Haller is licensed to practice in Wisconsin (license number 43090) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245204858.

Contact Information

Dr Lisa Haller, MD
5650 N Green Bay Ave Ste 210,
Glendale, WI 53209-4447
(414) 431-5971
(414) 434-0354

Map and Direction




Physician's Profile

Full NameDr Lisa Haller
GenderFemale
SpecialityNephrology
Experience29 Years
Location5650 N Green Bay Ave Ste 210, Glendale, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Haller attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995
  NPI Data:
  • NPI Number: 1245204858
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 02/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466485776
  • Enrollment ID: I20100312000837

Medical Identifiers

Medical identifiers for Dr Lisa Haller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245204858NPI-NPPES
34072700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 43090 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Davita - CedarburgCedarburg, WIDialysis facility
Davita - Rivercenter DrMilwaukee, WIDialysis facility
Davita - Mill Street Home TrainingCedarburg, WIDialysis facility
Total Renal Care IncGermantown, WIDialysis facility
Davita - Humboldt RidgeMilwaukee, WIDialysis facility
Aurora Medical Center - GraftonGrafton, WIHospital
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Advanced Healthcare Inc3375625833928
Milwaukee Nephrologists Sc438553844619

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 Haller allows following entities to bill medicare on her behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameMilwaukee Nephrologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982763405
PECOS PAC ID: 4385538446
Enrollment ID: O20040210000576
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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 Haller 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 Haller, MD
2514 S 102nd St, Suite 120,
West Allis, WI 53227-2142

Ph: (414) 777-5200		Dr Lisa Haller, MD
5650 N Green Bay Ave Ste 210,
Glendale, WI 53209-4447

Ph: (414) 431-5971

Reviews and Comments


Internal Medicine Doctors in Glendale, WI

Talal R Khairi, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5650 N Green Bay Ave Ste 210, Glendale, WI 53209
Phone: 414-431-5971    Fax: 414-434-0354
Katherine Healy Vissers Finn, D.O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 7080 N Port Washington Road, Glendale, WI 53217
Phone: 414-351-4009    Fax: 414-351-7060
Dr. Rishi Kora, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5650 N Green Bay Ave Ste 210, Glendale, WI 53209
Phone: 414-431-5971    Fax: 414-434-0354
Dr. Jonathan Kushi, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 7080 N Port Washington Rd, Glendale, WI 53217
Phone: 414-351-4009    Fax: 414-351-7060
Dr. Primo R Tamayo, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209
Phone: 414-461-9250    Fax: 414-461-3553
Dr. Stephen Glenn Sievers, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 5650 N Green Bay Ave Ste 100, Glendale, WI 53209
Phone: 414-431-5971    Fax: 414-434-0354

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.