Lisa M Fedullo, MD - Medicare Interventional Radiology in Bethlehem, PA

Lisa M Fedullo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bethlehem, Pennsylvania. She went to Temple University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Interventional Radiology. She is a member of the group practice Progressive Physician Assoc Inc, Progressive Physician Assoc Inc and her current practice location is 425 Brighton St, #303, Bethlehem, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 868-1100.

Lisa M Fedullo is licensed to practice in Pennsylvania (license number MD027576E) 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 1033153440.

Contact Information

Lisa M Fedullo, MD
425 Brighton St, #303,
Bethlehem, PA 18015-1273
(610) 868-1100
(610) 868-1111

Map and Direction




Physician's Profile

Full NameLisa M Fedullo
GenderFemale
SpecialityInterventional Radiology
Experience43 Years
Location425 Brighton St, Bethlehem, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa M Fedullo attended and graduated from Temple University School Of Medicine in 1981
  NPI Data:
  • NPI Number: 1033153440
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 02/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1052308830
  • Enrollment ID: I20050104000396

Medical Identifiers

Medical identifiers for Lisa M Fedullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033153440NPI-NPPES
01208158MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD027576E (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Hospital BethlehemBethlehem, PAHospital
St Lukes Quakertown HospitalQuakertown, PAHospital
St Luke's Miners Memorial HospitalCoaldale, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Progressive Physician Assoc Inc1355243809120
Progressive Physician Assoc Inc1355243809120

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 M Fedullo allows following entities to bill medicare on her behalf.
Entity NameProgressive Physician Assoc Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881646859
PECOS PAC ID: 1355243809
Enrollment ID: O20040123000977

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 M Fedullo 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 AddressPractice Location Address
Lisa M Fedullo, MD
425 Brighton St, #303,
Bethlehem, PA 18015-1273

Ph: (610) 868-1100
Lisa M Fedullo, MD
425 Brighton St, #303,
Bethlehem, PA 18015-1273

Ph: (610) 868-1100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.