Dr Lisa Pedevillano, DO - Medicare Surgery in Philadelphia, PA

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Dr Lisa Pedevillano, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Philadelphia, Pennsylvania. Her current practice location is 9501 Roosevelt Blvd Ste 312, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 331-7001.

Dr Lisa Pedevillano is licensed to practice in Pennsylvania (license number OS023186) 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 1720433535.

Contact Information

Dr Lisa Pedevillano, DO
9501 Roosevelt Blvd Ste 312,
Philadelphia, PA 19114-1028
(215) 331-7001
(215) 331-7004

Map and Direction




Physician's Profile

Full NameDr Lisa Pedevillano
GenderFemale
SpecialitySurgery - Vascular Surgery
Location9501 Roosevelt Blvd Ste 312, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720433535
  • Provider Enumeration Date: 04/29/2016
  • Last Update Date: 10/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305292863
  • Enrollment ID: I20231019003525

Medical Identifiers

Medical identifiers for Dr Lisa Pedevillano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720433535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery OS023186 (Pennsylvania)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 Pedevillano allows following entities to bill medicare on her behalf.
Entity NameAria Health Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750949806
PECOS PAC ID: 3577467018
Enrollment ID: O20040224000045

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 Pedevillano 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 Pedevillano, DO
1430 W Sherman Ave,
Vineland, NJ 08360-6927

Ph: (845) 797-5195		Dr Lisa Pedevillano, DO
9501 Roosevelt Blvd Ste 312,
Philadelphia, PA 19114-1028

Ph: (215) 331-7001

Reviews and Comments


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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).

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