Ms Lisa E Connery, MD is a medicare enrolled "Anesthesiology" physician in Plattsburg, New York. Her current practice location is
75 Beekman Street, Plattsburg, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 561-2000.
Ms Lisa E Connery is licensed to practice in Florida (license number ME94486) 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 1619973294.
Physician's Profile
| Full Name | Ms Lisa E Connery |
|---|
| Gender | Female |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 75 Beekman Street, Plattsburg, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1619973294
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 01/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901895820
- Enrollment ID: I20040506001709
Medical Identifiers
Medical identifiers for Ms Lisa E Connery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619973294 | NPI | - | NPPES |
| 01829923 | Medicaid | NY | |
| 0149942 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 25MA07981200 (New Jersey) | Secondary |
| 207L00000X | Anesthesiology | 189380 (New York) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | G63224 (California) | Secondary |
| 207L00000X | Anesthesiology | ME94486 (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. Ms Lisa E Connery allows following entities to bill medicare on her behalf.
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623 |
|---|
| Entity Name | Alice Hyde Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114954682
PECOS PAC ID: 4082525837
Enrollment ID: O20031126000357 |
|---|
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. Ms Lisa E Connery 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 |
|---|
Ms Lisa E Connery, MD
75 Beekman Street,
Plattsburg, NY 12901-1438
Ph: (518) 561-2000 | Ms Lisa E Connery, MD
75 Beekman Street,
Plattsburg, NY 12901-1438
Ph: (518) 561-2000 |
Reviews and Comments