Lisa Diane Moore-brandon, DO - Medicare Emergency Medicine in Phoenix, AZ

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Lisa Diane Moore-brandon, DO is a medicare enrolled "Emergency Medicine" physician in Phoenix, Arizona. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Tec Emergency Physicians Of Arizona, Llc and her current practice location is 2000 W Bethany Home Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 529-7213.

Lisa Diane Moore-brandon is licensed to practice in Arizona (license number 006369) 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 1366737157.

Contact Information

Lisa Diane Moore-brandon, DO
2000 W Bethany Home Rd,
Phoenix, AZ 85015-2443
(480) 529-7213
Not Available

Map and Direction




Physician's Profile

Full NameLisa Diane Moore-brandon
GenderFemale
SpecialityEmergency Medicine
Experience13 Years
Location2000 W Bethany Home Rd, Phoenix, Arizona
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 Diane Moore-brandon attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2011
  NPI Data:
  • NPI Number: 1366737157
  • Provider Enumeration Date: 06/09/2011
  • Last Update Date: 09/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8527283183
  • Enrollment ID: I20140715002669

Medical Identifiers

Medical identifiers for Lisa Diane Moore-brandon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366737157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine Q0675 (Texas)Secondary
207P00000XEmergency Medicine 006369 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dignity Health - Arizona General HospitalLaveen, AZHospital
Dignity Health Arizona General HospitalMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tec Emergency Physicians Of Arizona, Llc6204256084116

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 Diane Moore-brandon allows following entities to bill medicare on her behalf.
Entity NameCep America- Arizona, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780202804
PECOS PAC ID: 1850541970
Enrollment ID: O20121026000403
Entity NameEmergency Group Of Arizona Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442
Entity NameTec Emergency Physicians Of Arizona, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245772870
PECOS PAC ID: 6204256084
Enrollment ID: O20201016000157

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 Diane Moore-brandon 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 Diane Moore-brandon, DO
4502 N 2nd Dr,
Phoenix, AZ 85013-2912

Ph: (480) 529-7213		Lisa Diane Moore-brandon, DO
2000 W Bethany Home Rd,
Phoenix, AZ 85015-2443

Ph: (480) 529-7213

Reviews and Comments


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Joseph Choi,
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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.