Lisa Peng, MD is a medicare enrolled "General Practice" physician in Harvey, Illinois. Her current practice location is
31 W 155th St, Harvey, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 596-5177.
Lisa Peng is licensed to practice in Illinois (license number 036104558) 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 1235206897.
Physician's Profile
Full Name | Lisa Peng |
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Gender | Female |
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Speciality | General Practice |
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Location | 31 W 155th St, Harvey, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235206897
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719167683
- Enrollment ID: I20110209000788
Medical Identifiers
Medical identifiers for Lisa Peng such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235206897 | NPI | - | NPPES |
036104558 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036104558 (Illinois) | 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 Peng allows following entities to bill medicare on her behalf.
Entity Name | Family Christian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093855736 PECOS PAC ID: 6507758612 Enrollment ID: O20040325000572 |
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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 Peng 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 Peng, MD 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 | Lisa Peng, MD 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 |
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