Lisa B Newcomer, CNP is a medicare enrolled "Nurse Practitioner" physician in Maple Grove, Minnesota. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Express Care, Fairview Clinics and her current practice location is
9550 Upland Ln N, Suite 100, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 537-6000.
Lisa B Newcomer is licensed to practice in Minnesota (license number 1075) 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 1326376096.
Physician's Profile
| Full Name | Lisa B Newcomer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 9550 Upland Ln N, Maple Grove, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa B Newcomer graduated from medical school in 2009
NPI Data:
- NPI Number: 1326376096
- Provider Enumeration Date: 11/18/2009
- Last Update Date: 02/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436280286
- Enrollment ID: I20100623000649
Medical Identifiers
Medical identifiers for Lisa B Newcomer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326376096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 1075 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 1075 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fairview Express Care | 3375645179 | 1537 |
| Fairview Clinics | 7113830142 | 658 |
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 Newcomer allows following entities to bill medicare on her behalf.
| Entity Name | Fairview Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461 |
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| Entity Name | Fairview Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516 |
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| Entity Name | Fairview Express Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548 |
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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 Newcomer 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 |
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Lisa B Newcomer, CNP
2104 Northdale Blvd Nw, Suite 220,
Minneapolis, MN 55433-3028
Ph: (763) 537-6000 | Lisa B Newcomer, CNP
9550 Upland Ln N, Suite 100,
Maple Grove, MN 55369-4481
Ph: (763) 537-6000 |
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