Lisa B Firestone, MD, MPH is a medicare enrolled "General Practice" physician in Davis Monthan A F B, Arizona. Her current practice location is
4175 S Alamo Ave, 355 Amds, Davis Monthan A F B, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 228-2721.
Lisa B Firestone is licensed to practice in Indiana (license number 01054691A) 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 1134102882.
Physician's Profile
| Full Name | Lisa B Firestone |
|---|
| Gender | Female |
|---|
| Speciality | General Practice |
|---|
| Location | 4175 S Alamo Ave, Davis Monthan A F B, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1134102882
- Provider Enumeration Date: 11/28/2005
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426207218
- Enrollment ID: I20121011000646
Medical Identifiers
Medical identifiers for Lisa B Firestone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134102882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 01054691A (Indiana) | 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. Lisa B Firestone allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
|---|
| Entity Name | Southern California Permanente Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
|---|
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 B Firestone 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 B Firestone, MD, MPH
14336 E Manhead Lookout Dr,
Vail, AZ 85641-2550
Ph: () - | Lisa B Firestone, MD, MPH
4175 S Alamo Ave, 355 Amds,
Davis Monthan A F B, AZ 85707-6097
Ph: (520) 228-2721 |
Reviews and Comments