Dr Mel Timtiman Lizaso, MD in Port St Lucie, FL

Dr Mel Timtiman Lizaso, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Port St Lucie, Florida. His current practice location is 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 288-5890.

Dr Mel Timtiman Lizaso is licensed to practice in Florida (license number ME169611) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215497789.

Contact Information

	Dr Mel Timtiman Lizaso, MD
	1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719
	(772) 288-5890
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mel Timtiman Lizaso
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215497789
Provider Enumeration Date: 03/21/2019
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0840610390
Enrollment ID: I20201021003182

Medical Identifiers

Medical identifiers for Dr Mel Timtiman Lizaso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215497789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	ME169611 (Florida)	Primary

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 Mel Timtiman Lizaso 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 Mel Timtiman Lizaso, MD 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 Ph: (772) 785-5588	Dr Mel Timtiman Lizaso, MD 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 Ph: (772) 288-5890

Reviews and Comments

Radiology Doctors in Port St Lucie, FL

Dr. Vijaya Vardhan Chundi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 Fax: 772-398-2244
Whitney Page, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233
Dr. James Michael Melotek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055
Rochelle A Wolfe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000
Alexander N Vennos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Attention Rhonda Robertson Radiology Dept, Port St Lucie, FL 34952 Phone: 561-736-1200 Fax: 561-742-1919
Alex Sarmen Mirakian, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055

Dr Mel Timtiman Lizaso, MD - Medicare Radiology in Port St Lucie, FL