Lisabeth Carlisle Kelly, MD in Spokane, WA

Lisabeth Carlisle Kelly, MD is a medicare enrolled "Family Medicine" physician in Spokane, Washington. Her current practice location is 3919 N Maple St, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 444-8200.

Lisabeth Carlisle Kelly is licensed to practice in Washington (license number MD61467593) 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 1043473796.

Contact Information

	Lisabeth Carlisle Kelly, MD
	3919 N Maple St, Spokane, WA 99205-1349
	(509) 444-8200
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisabeth Carlisle Kelly
Gender	Female
Speciality	Family Medicine
Location	3919 N Maple St, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043473796
Provider Enumeration Date: 07/02/2008
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0345410130
Enrollment ID: I20110906000312

Medical Identifiers

Medical identifiers for Lisabeth Carlisle Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043473796	NPI	-	NPPES
A110776	Other	CA	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A110776 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	MD61467593 (Washington)	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. Lisabeth Carlisle Kelly allows following entities to bill medicare on her behalf.

Entity Name	County Of Ventura
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587

Entity Name	Carl A Constantine Md A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639283252 PECOS PAC ID: 8820098692 Enrollment ID: O20061228000428

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. Lisabeth Carlisle Kelly 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
Lisabeth Carlisle Kelly, MD 611 N Iron Bridge Way, Spokane, WA 99202-4932 Ph: (509) 444-8888	Lisabeth Carlisle Kelly, MD 3919 N Maple St, Spokane, WA 99205-1349 Ph: (509) 444-8200

Reviews and Comments

Family Medicine Doctors in Spokane, WA

Edward P. Brow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 W North River Dr, Spokane, WA 99201 Phone: 509-324-6464
Dr. Arild Lein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Mission Ave, Spokane, WA 99201 Phone: 509-326-4343
Mark Ashley Hart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 E Holland Ave, Spokane, WA 99218 Phone: 509-466-3960 Fax: 509-466-9566
Kelly C. Grieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9911 N Nevada St, Spokane, WA 99218 Phone: 509-626-9420 Fax: 509-227-7070
Mr. Philip Roger Henry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Rowan Ave, Suite A, Spokane, WA 99207 Phone: 509-483-3155 Fax: 509-483-3270
Dr. Ryan Massoud, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070
Nikolus Remington Richey, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11402 N Newport Hwy Ste A, Spokane, WA 99218 Phone: 509-352-7814 Fax: 509-362-9875

Lisabeth Carlisle Kelly, MD - Medicare Family Medicine in Spokane, WA