Lisa Boucek, MD in Scottsdale, AZ

Lisa Boucek, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Scottsdale, Arizona. Her current practice location is 21807 N Scottsdale Rd, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 860-8488.

Lisa Boucek is licensed to practice in Arizona (license number 54432) 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 1720498975.

Contact Information

	Lisa Boucek, MD
	21807 N Scottsdale Rd, Scottsdale, AZ 85255
	(480) 860-8488
	(480) 860-8498

Map and Direction

Physician's Profile

Full Name	Lisa Boucek
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	21807 N Scottsdale Rd, Scottsdale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720498975
Provider Enumeration Date: 04/28/2014
Last Update Date: 07/18/2019

Medicare PECOS Information:

PECOS PAC ID: 9032509120
Enrollment ID: I20211203001634

Medical Identifiers

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

Identifier	Type	State	Issuer
1720498975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	54432 (Arizona)	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 Boucek allows following entities to bill medicare on her behalf.

Entity Name	Maricopa County Special Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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 Boucek 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 Boucek, MD 9827 N 95th St Ste 105, Scottsdale, AZ 85258-4591 Ph: (480) 860-8488	Lisa Boucek, MD 21807 N Scottsdale Rd, Scottsdale, AZ 85255 Ph: (480) 860-8488

Reviews and Comments

Pediatrics Doctors in Scottsdale, AZ

Matthew Barcellona, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-551-5064 Fax: 480-860-8498
Dr. Sherry Patricia Pottgen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21807 N Scottsdale Rd, Scottsdale, AZ 85255 Phone: 480-425-8488 Fax: 480-425-8498
Nirav Patel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255 Phone: 480-398-1550 Fax: 480-398-1551
Tierra Schulz, PNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9827 N 95th St Ste 105, Scottsdale, AZ 85258 Phone: 253-224-8314
Dr. Katherine Lichtsinn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7555 E Osborn Rd, Suite 106, Scottsdale, AZ 85251 Phone: 480-609-8100 Fax: 480-922-7551
Jamie Russelle Wallace, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10752 N 89th Pl, #126, Scottsdale, AZ 85260 Phone: 480-860-1161 Fax: 480-860-6561
John A Pope, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9003 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-323-3644 Fax: 480-323-3510

Lisa Boucek, MD - Medicare Pediatrics in Scottsdale, AZ