Dr Lisa R Irvin, MD in St Louis Park, MN

Dr Lisa R Irvin, MD is a medicare enrolled "Pediatrics" physician in St Louis Park, Minnesota. Her current practice location is 3910 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 562-8787.

Dr Lisa R Irvin is licensed to practice in Minnesota (license number 41186) 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 1124095575.

Contact Information

	Dr Lisa R Irvin, MD
	3910 Excelsior Blvd, St Louis Park, MN 55416-4709
	(952) 562-8787
	(952) 562-8788

Map and Direction

Physician's Profile

Full Name	Dr Lisa R Irvin
Gender	Female
Speciality	Pediatrics
Location	3910 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124095575
Provider Enumeration Date: 03/03/2006
Last Update Date: 09/22/2011

Medicare PECOS Information:

PECOS PAC ID: 8729034087
Enrollment ID: I20131217001194

Medical Identifiers

Medical identifiers for Dr Lisa R Irvin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124095575	NPI	-	NPPES
294718800	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	41186 (Minnesota)	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 R Irvin allows following entities to bill medicare on her behalf.

Entity Name	Children's Clinic Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447529235 PECOS PAC ID: 5890949192 Enrollment ID: O20130214000538

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 R Irvin 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 R Irvin, MD 3910 Excelsior Blvd, St Louis Park, MN 55416-4709 Ph: (952) 562-8787	Dr Lisa R Irvin, MD 3910 Excelsior Blvd, St Louis Park, MN 55416-4709 Ph: (952) 562-8787

Reviews and Comments

Pediatrics Doctors in St Louis Park, MN

Patrick Mueller, Pediatrics Medicare: Medicare Enrolled Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3298
Karna Lundquist, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3298
Dr. Robert S Karasov, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123
Sara Mcglynn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-7346
Dr. Michael D Hobbs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4832 W 27th St, St Louis Park, MN 55416 Phone: 952-217-6309
Mark A Nammacher, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, 131, St Louis Park, MN 55426 Phone: 952-401-8290 Fax: 952-401-8243
Dr. Michael B Ainslie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3090

Dr Lisa R Irvin, MD - Medicare Pediatrics in St Louis Park, MN