Mrs Lisa Coleman, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Danville, Virginia. Her current practice location is
1040 Main St, Danville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 792-1433.
Mrs Lisa Coleman is licensed to practice in Virginia (license number 0024178030) 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 1346892213.
Physician's Profile
| Full Name | Mrs Lisa Coleman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1040 Main St, Danville, Virginia |
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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: 1346892213
- Provider Enumeration Date: 07/11/2019
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840622619
- Enrollment ID: I20191115002128
Medical Identifiers
Medical identifiers for Mrs Lisa Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346892213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0200X | Internal Medicine - Critical Care Medicine | F07190388 (Virginia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 0024178030 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 0024178030 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024178030 (Virginia) | 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. Mrs Lisa Coleman allows following entities to bill medicare on her behalf.
| Entity Name | Danville Urologic Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619927100
PECOS PAC ID: 8022067743
Enrollment ID: O20050119000909 |
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| Entity Name | Danville Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629022868
PECOS PAC ID: 4688606304
Enrollment ID: O20051007000454 |
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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. Mrs Lisa Coleman 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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Mrs Lisa Coleman, NP
574 Mangrums Rd,
Danville, VA 24541-8508
Ph: (434) 228-9571 | Mrs Lisa Coleman, NP
1040 Main St,
Danville, VA 24541-1816
Ph: (434) 792-1433 |
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