Lisa A Mattingly, MD in Fort Myers, FL - Medicare Family Practice

Lisa A Mattingly, MD is a medicare enrolled "Family Medicine" physician in Fort Myers, Florida. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Florida Medical Associates Llc and her current practice location is 20291 Summerlin Rd Ste 105, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 387-1540.

Lisa A Mattingly is licensed to practice in Florida (license number ME146476) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104186907.

Contact Information

	Lisa A Mattingly, MD
	20291 Summerlin Rd Ste 105, Fort Myers, FL 33908-3759
	(239) 387-1540
	(239) 387-1541

Map and Direction

Physician's Profile

Full Name	Lisa A Mattingly
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	20291 Summerlin Rd Ste 105, Fort Myers, Florida
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa A Mattingly graduated from medical school in 2012

NPI Data:

NPI Number: 1104186907
Provider Enumeration Date: 05/25/2012
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5799091542
Enrollment ID: I20210812002465

Medical Identifiers

Medical identifiers for Lisa A Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104186907	NPI	-	NPPES
200444630A	Medicaid	OK
430265YRHZ	Other	OK	MEDICARE GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME146476 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Medical Associates Llc	0648271155	133

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 Mattingly allows following entities to bill medicare on her behalf.

Entity Name	Collier Health Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609827211 PECOS PAC ID: 4183521925 Enrollment ID: O20040210000106

Entity Name	Florida Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169

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 Mattingly 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
Lisa A Mattingly, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243	Lisa A Mattingly, MD 20291 Summerlin Rd Ste 105, Fort Myers, FL 33908-3759 Ph: (239) 387-1540

Reviews and Comments

Family Medicine Doctors in Fort Myers, FL

Annie Taylor Millis, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15420 Cemetery Rd, Fort Myers, FL 33905 Phone: 843-992-4619
Andrew J Oakes-lottridge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1315 Florida Ave, Fort Myers, FL 33901 Phone: 239-694-6246 Fax: 239-344-3333
Taras Babiak, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19701 S Tamiami Trl, Fort Myers, FL 33908 Phone: 239-314-1600 Fax: 239-425-6402
Dr. Frederick J. Burford Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13774 Plantation Rd Ste 100, Fort Myers, FL 33912 Phone: 239-236-7777 Fax: 239-245-7028
Dr. Rafael Paula, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348
Dr. David John Gomeringer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 240, Fort Myers, FL 33912 Phone: 239-768-5544 Fax: 239-768-9607
Billy Ray Fulk, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16731 Mcgregor Blvd, Suite 105, Fort Myers, FL 33908 Phone: 239-437-2121

Lisa A Mattingly, MD - Medicare Family Practice in Fort Myers, FL