Lisa Constance Buenger, MD is a medicare enrolled "Pediatrics" physician in Hibbing, Minnesota. Her current practice location is
3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 262-3441.
Lisa Constance Buenger is licensed to practice in Minnesota (license number 43611) 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 1427161645.
Physician's Profile
| Full Name | Lisa Constance Buenger |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 3605 Mayfair Ave, Hibbing, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427161645
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 02/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 8820275761
- Enrollment ID: I20121217000270
Medical Identifiers
Medical identifiers for Lisa Constance Buenger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427161645 | NPI | - | NPPES |
| 344453000 | Medicaid | WI | |
| 203743000 | Other | WI | TAX IDENTIFACTION NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 45789 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 43611 (Minnesota) | 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 Constance Buenger allows following entities to bill medicare on her behalf.
| Entity Name | Range Regional Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095 |
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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 Constance Buenger 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 Constance Buenger, MD
3605 Mayfair Ave,
Hibbing, MN 55746-2935
Ph: (218) 262-3441 | Lisa Constance Buenger, MD
3605 Mayfair Ave,
Hibbing, MN 55746-2935
Ph: (218) 262-3441 |
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