Dr Lisa Peterson Salata, MD in Englewood, OH

Dr Lisa Peterson Salata, MD is a medicare enrolled "Family Medicine" physician in Englewood, Ohio. Her current practice location is 200 Rockridge Rd Ste 100, Englewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 274-2117.

Dr Lisa Peterson Salata is licensed to practice in Ohio (license number 35076934) 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 1710081096.

Contact Information

	Dr Lisa Peterson Salata, MD
	200 Rockridge Rd Ste 100, Englewood, OH 45322-2728
	(937) 274-2117
	(937) 274-9809

Map and Direction

Physician's Profile

Full Name	Dr Lisa Peterson Salata
Gender	Female
Speciality	Family Medicine
Location	200 Rockridge Rd Ste 100, Englewood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710081096
Provider Enumeration Date: 09/08/2006
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9032259270
Enrollment ID: I20230810001078

Medical Identifiers

Medical identifiers for Dr Lisa Peterson Salata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710081096	NPI	-	NPPES
2277950	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35076934 (Ohio)	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. Dr Lisa Peterson Salata allows following entities to bill medicare on her behalf.

Entity Name	Premier Integrated Medical Assoc Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915224 PECOS PAC ID: 9032101399 Enrollment ID: O20040409000393

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. Dr Lisa Peterson Salata 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
Dr Lisa Peterson Salata, MD 200 Rockridge Rd Ste 100, Englewood, OH 45322-2728 Ph: (937) 274-2117	Dr Lisa Peterson Salata, MD 200 Rockridge Rd Ste 100, Englewood, OH 45322-2728 Ph: (937) 274-2117

Reviews and Comments

Family Medicine Doctors in Englewood, OH

Benjamin Deloss Mishler, PA-C, AT Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Englewood, OH 45415 Phone: 260-223-5666
David A Mesker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Ste 202, Englewood, OH 45415 Phone: 937-832-9700 Fax: 937-832-8663
Donald Dean Collins, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 W National Rd, Englewood, OH 45322 Phone: 937-208-8100 Fax: 937-208-8120
Dr. Andrea Ruth Dillon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Rockridge Rd Ste 100, Englewood, OH 45322 Phone: 937-274-2117 Fax: 937-274-9809
Christopher J Lauricella, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St Ste G-35, Englewood, OH 45415 Phone: 937-836-4361 Fax: 937-836-1140
Kristy A Zechiel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1250 W National Rd Ste 400, Englewood, OH 45315 Phone: 937-836-6000 Fax: 937-832-4805
Seth Tyler Kettel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Suite 300, Englewood, OH 45415 Phone: 937-832-1500

Dr Lisa Peterson Salata, MD - Medicare Family Medicine in Englewood, OH