Lisa Sudmeier, MD, PHD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Atlanta, Georgia. Her current practice location is
100 Woodruff Cir Ne Ste 327, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 727-5658.
Lisa Sudmeier is licensed to practice in * (Not Available) (license number ) 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 1306379409.
Physician's Profile
Full Name | Lisa Sudmeier |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 100 Woodruff Cir Ne Ste 327, Atlanta, Georgia |
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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: 1306379409
- Provider Enumeration Date: 04/05/2017
- Last Update Date: 08/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557745403
- Enrollment ID: I20220826001785
Medical Identifiers
Medical identifiers for Lisa Sudmeier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306379409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 009522 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Sudmeier allows following entities to bill medicare on her behalf.
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
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Entity Name | Georgia Protoncare Center Inc. |
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Entity Type | Part B Supplier - Radiation Therapy Center |
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Entity Identifiers | NPI Number: 1083107999 PECOS PAC ID: 0749524312 Enrollment ID: O20181207002533 |
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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 Sudmeier 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 Sudmeier, MD, PHD 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 Ph: (404) 616-1000 | Lisa Sudmeier, MD, PHD 100 Woodruff Cir Ne Ste 327, Atlanta, GA 30322-1020 Ph: (404) 727-5658 |
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