Dr Lisa Marie York, MD is a medicare enrolled "Family Medicine" physician in Pine, Arizona. Her current practice location is
6152 Hardscrabble Road, Pine, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 476-3258.
Dr Lisa Marie York is licensed to practice in Arizona (license number 24012) 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 1992797450.
Physician's Profile
| Full Name | Dr Lisa Marie York |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 6152 Hardscrabble Road, Pine, Arizona |
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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: 1992797450
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 04/30/2010
Medicare PECOS Information:
- PECOS PAC ID: 3577466366
- Enrollment ID: I20191108002904
Medical Identifiers
Medical identifiers for Dr Lisa Marie York such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992797450 | NPI | - | NPPES |
| 391186 | Medicaid | AZ | |
| AZ0740060 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 1Z9017 | Other | AZ | HEALTHNET |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 24012 (Arizona) | 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 York allows following entities to bill medicare on her behalf.
| Entity Name | Toiyabe Indian Health Project Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659433191
PECOS PAC ID: 2668419813
Enrollment ID: O20050411000182 |
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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 Marie York 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 |
|---|
Dr Lisa Marie York, MD
Po Box 409,
Pine, AZ 85544-0409
Ph: (928) 476-3258 | Dr Lisa Marie York, MD
6152 Hardscrabble Road,
Pine, AZ 85544
Ph: (928) 476-3258 |
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