Lisa N Gervin, MD is a medicare enrolled "Internal Medicine" physician in Dania, Florida. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is
368 E Dania Beach Blvd, Dania, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 685-5688.
Lisa N Gervin is licensed to practice in Florida (license number ME165140) 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 1962425157.
Physician's Profile
Full Name | Lisa N Gervin |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 29 Years |
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Location | 368 E Dania Beach Blvd, Dania, Florida |
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Accepts Medicare Assignments | Yes. 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 N Gervin graduated from medical school in 1995
NPI Data:
- NPI Number: 1962425157
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 06/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608824826
- Enrollment ID: I20050104001139
Medical Identifiers
Medical identifiers for Lisa N Gervin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962425157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | ME165140 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sutter Bay Medical Foundation | 4284538778 | 2995 |
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 N Gervin allows following entities to bill medicare on her behalf.
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
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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 N Gervin 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 N Gervin, MD 368 E Dania Beach Blvd, Dania, FL 33004-3020 Ph: () - | Lisa N Gervin, MD 368 E Dania Beach Blvd, Dania, FL 33004-3020 Ph: (305) 685-5688 |
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