Lisa Bennett, MD is a medicare enrolled "Ophthalmology" physician in Mequon, Wisconsin. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Madison Medical Affiliates Inc and her current practice location is
10320 N Port Washington Rd, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 241-1919.
Lisa Bennett is licensed to practice in Wisconsin (license number 70489) 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 1619354743.
Physician's Profile
Full Name | Lisa Bennett |
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Gender | Female |
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Speciality | Ophthalmology |
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Experience | 9 Years |
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Location | 10320 N Port Washington Rd, Mequon, Wisconsin |
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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 Bennett graduated from medical school in 2015
NPI Data:
- NPI Number: 1619354743
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375846652
- Enrollment ID: I20190819002200
Medical Identifiers
Medical identifiers for Lisa Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619354743 | NPI | - | NPPES |
1619354743 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 70489 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Madison Medical Affiliates Inc | 5991606337 | 80 |
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 Bennett allows following entities to bill medicare on her behalf.
Entity Name | Madison Medical Affiliates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
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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 Bennett 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 Bennett, MD 788 N Jefferson St Ste 300, Milwaukee, WI 53202-3710 Ph: (414) 272-8950 | Lisa Bennett, MD 10320 N Port Washington Rd, Mequon, WI 53092-5767 Ph: (262) 241-1919 |
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