Dr Lisa M Kodadek, MD - Medicare General Surgery in New Haven, CT

Dr Lisa M Kodadek, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in New Haven, Connecticut. She went to Medical College Of Wisconsin and graduated in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Yale University and her current practice location is 20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 688-4242.

Dr Lisa M Kodadek is licensed to practice in Connecticut (license number 65084) 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 1972802791.

Contact Information

Dr Lisa M Kodadek, MD
20 York St,
New Haven, CT 06510-3220
(203) 688-4242
Not Available

Map and Direction




Physician's Profile

Full NameDr Lisa M Kodadek
GenderFemale
SpecialityGeneral Surgery
Experience13 Years
Location20 York St, New Haven, Connecticut
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 M Kodadek attended and graduated from Medical College Of Wisconsin in 2011
  NPI Data:
  • NPI Number: 1972802791
  • Provider Enumeration Date: 03/18/2011
  • Last Update Date: 09/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759539901
  • Enrollment ID: I20201109001978

Medical Identifiers

Medical identifiers for Dr Lisa M Kodadek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972802791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 65084 (Connecticut)Secondary
2086S0102XSurgery - Surgical Critical Care 65084 (Connecticut)Secondary
2086S0127XSurgery - Trauma Surgery 65084 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yale-new Haven HospitalNew haven, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yale University94360617362238

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 M Kodadek allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015

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 M Kodadek 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 M Kodadek, MD
330 Cedar St, Boardman Building 310,
New Haven, CT 06510

Ph: (203) 688-4242
Dr Lisa M Kodadek, MD
20 York St,
New Haven, CT 06510-3220

Ph: (203) 688-4242

Reviews and Comments


Surgery Doctors in New Haven, CT

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Phone: 929-210-6160    Fax: 929-210-6161

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.