Lisage Georges, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Lauderhill, Florida. His current practice location is
1295 Nw 40th Ave Ste 200, Lauderhill, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 583-4710.
Lisage Georges is licensed to practice in Florida (license number APRN11019688) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770102634.
Physician's Profile
| Full Name | Lisage Georges |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1295 Nw 40th Ave Ste 200, Lauderhill, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770102634
- Provider Enumeration Date: 04/10/2020
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658755905
- Enrollment ID: I20220906000434
Medical Identifiers
Medical identifiers for Lisage Georges such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770102634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | NJDCATEMP-000832 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11019688 (Florida) | 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. Lisage Georges allows following entities to bill medicare on his behalf.
| Entity Name | Broward Community And Family Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730121435
PECOS PAC ID: 9032170345
Enrollment ID: O20041020000942 |
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| Entity Name | Md Now Medical Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033195474
PECOS PAC ID: 3971554825
Enrollment ID: O20050208000625 |
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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. Lisage Georges 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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Lisage Georges, ARNP
4360 Pomelo Blvd,
Boynton Beach, FL 33436-1612
Ph: (786) 659-9597 | Lisage Georges, ARNP
1295 Nw 40th Ave Ste 200,
Lauderhill, FL 33313-5801
Ph: (954) 583-4710 |
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