Lisa A Kowalski, MD - Medicare General Surgery in Effingham, IL

Lisa A Kowalski, MD is a medicare enrolled "Surgery" physician in Effingham, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Springfield Clinic Llp, St Anthony's Memorial Hospital and her current practice location is 300 N Maple St, Effingham, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 342-4151.

Lisa A Kowalski is licensed to practice in Illinois (license number 036095601) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295766772.

Contact Information

Lisa A Kowalski, MD
300 N Maple St,
Effingham, IL 62401-2003
(217) 342-4151
(217) 347-3033

Map and Direction




Physician's Profile

Full NameLisa A Kowalski
GenderFemale
SpecialityGeneral Surgery
Experience32 Years
Location300 N Maple St, Effingham, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa A Kowalski attended and graduated from Southern Illinois University School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1295766772
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 05/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022079581
  • Enrollment ID: I20100108000778

Medical Identifiers

Medical identifiers for Lisa A Kowalski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295766772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036095601 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys Memorial HospitalEffingham, ILHospital
Memorial Medical CenterSpringfield, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic Llp0547166076673
St Anthony's Memorial Hospital236534121126

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. Lisa A Kowalski allows following entities to bill medicare on her behalf.
Entity NamePana Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942326970
PECOS PAC ID: 3274437348
Enrollment ID: O20031121000350
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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. Lisa A Kowalski 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
Lisa A Kowalski, MD
1025 S Sixth,
Springfield, IL 62703

Ph: (217) 528-7541
Lisa A Kowalski, MD
300 N Maple St,
Effingham, IL 62401-2003

Ph: (217) 342-4151

Reviews and Comments


Surgery Doctors in Effingham, IL

Dr. Kevin D Malone, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1104 W Evergreen Ave, Effingham, IL 62401
Phone: 217-347-2500    Fax: 217-342-9775
Jason J Mcallaster, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Maple St, Effingham, IL 62401
Phone: 217-342-4151    Fax: 217-342-4190
Dr. Patrick Kyle Stewart, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 901 Medical Park Dr Ste 100, Effingham, IL 62401
Phone: 217-347-7400    
Kevin A Calder, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 900 W Temple Ave, Effingham, IL 62401
Phone: 217-540-2350    
Dr. Mohammed Iyoob Mohammed Ilyas, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 904 Medical Park Dr Ste 2, Effingham, IL 62401
Phone: 217-347-2255    
Dr. Ruben D Boyajian, MD
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 900 West Temple Avenue, Building B - Suite 2500, Effingham, IL 62401
Phone: 217-347-2255    Fax: 217-342-6910

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.