Dr Lisa Marie Rotelli, D O - Medicare Pediatrics in Johnstown, NY

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Dr Lisa Marie Rotelli, D O is a medicare enrolled "Pediatrics" physician in Johnstown, New York. Her current practice location is 110 Decker Dr Ste 100, Johnstown, New York. You can reach out to her office (for appointments etc.) via phone at (518) 762-6731.

Dr Lisa Marie Rotelli is licensed to practice in New York (license number 229169) 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 1215953229.

Contact Information

Dr Lisa Marie Rotelli, D O
110 Decker Dr Ste 100,
Johnstown, NY 12095-2157
(518) 762-6731
(518) 762-7135

Map and Direction




Physician's Profile

Full NameDr Lisa Marie Rotelli
GenderFemale
SpecialityPediatrics
Location110 Decker Dr Ste 100, Johnstown, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215953229
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 03/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234159922
  • Enrollment ID: I20051123000540

Medical Identifiers

Medical identifiers for Dr Lisa Marie Rotelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215953229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics DO-901 (Alabama)Secondary
208D00000XGeneral Practice 229169 (New York)Secondary
208000000XPediatrics 229169 (New York)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 Marie Rotelli allows following entities to bill medicare on her behalf.
Entity NameYukon-kuskokwim Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447477815
PECOS PAC ID: 5193718765
Enrollment ID: O20040407001515

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 Marie Rotelli 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 Marie Rotelli, D O
99 E State St,
Gloversville, NY 12078-1203

Ph: (518) 762-6731		Dr Lisa Marie Rotelli, D O
110 Decker Dr Ste 100,
Johnstown, NY 12095-2157

Ph: (518) 762-6731

Reviews and Comments


Pediatrics Doctors in Johnstown, NY

Mrs. Parul Saxena, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 700 S. Perry St, St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri, Johnstown, NY 12095
Phone: 518-762-3161    Fax: 518-762-4902
Dr. Shannon Jane Colt, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 110 Decker Drive, Suite 100, Johnstown, NY 12095
Phone: 518-762-6731    Fax: 518-762-7135
John Mcphillips, M.D.
Pediatrics
Medicare: May Accept Medicare Assignments
Practice Location: 279 Maloney Rd, Johnstown, NY 12095
Phone: 518-736-2094    Fax: 518-736-1052

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.