Lisa Rolon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Greenlawn, New York. She went to State University Of Ny Upstate Medical University and graduated in 2002 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Huntington Hospital Dolan Family Health Center and her current practice location is
284 Pulaski Rd, Greenlawn, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 425-5245.
Lisa Rolon is licensed to practice in New York (license number 242572) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1174703193.
Physician's Profile
| Full Name | Lisa Rolon |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 22 Years |
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| Location | 284 Pulaski Rd, Greenlawn, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Rolon attended and graduated from State University Of Ny Upstate Medical University in 2002
NPI Data:
- NPI Number: 1174703193
- Provider Enumeration Date: 11/07/2007
- Last Update Date: 10/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 3072682616
- Enrollment ID: I20080521000820
Medical Identifiers
Medical identifiers for Lisa Rolon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174703193 | NPI | - | NPPES |
| 02962527 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 242572 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Huntington Hospital Dolan Family Health Center | 1153211792 | 5 |
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 Rolon allows following entities to bill medicare on her behalf.
| Entity Name | Huntington Hospital Dolan Family Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578593588
PECOS PAC ID: 1153211792
Enrollment ID: O20040317001466 |
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| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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 Rolon 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 |
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Lisa Rolon, MD
284 Pulaski Rd,
Greenlawn, NY 11740-1602
Ph: (631) 425-5245 | Lisa Rolon, MD
284 Pulaski Rd,
Greenlawn, NY 11740-1602
Ph: (631) 425-5245 |
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