Ms Lisa Rene Reno, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Shiloh, Illinois. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Healthcare Services Inc, Fairview Heights Medical Group Sc and her current practice location is
1414 Cross St Ste 210, Shiloh, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 607-1260.
Ms Lisa Rene Reno is licensed to practice in Illinois (license number 209004280) 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 1306871538.
Physician's Profile
| Full Name | Ms Lisa Rene Reno |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 1414 Cross St Ste 210, Shiloh, Illinois |
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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. |
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Medical Education and Training:
- Ms Lisa Rene Reno graduated from medical school in 2002
NPI Data:
- NPI Number: 1306871538
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 03/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779763743
- Enrollment ID: I20110208000621
Medical Identifiers
Medical identifiers for Ms Lisa Rene Reno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306871538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 209004280 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209004280 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Legacy Healthcare Services Inc | 2163339722 | 3341 |
| Fairview Heights Medical Group Sc | 6800784083 | 346 |
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 Rene Reno allows following entities to bill medicare on her behalf.
| Entity Name | Fairview Heights Medical Group Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650 |
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| Entity Name | Allergy Asthma & Immunology Center Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184829210
PECOS PAC ID: 9830299247
Enrollment ID: O20070714000154 |
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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. Ms Lisa Rene Reno 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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Ms Lisa Rene Reno, NURSE PRACTITIONER
1414 Cross St Ste 210,
Shiloh, IL 62269-2988
Ph: (618) 607-1260 | Ms Lisa Rene Reno, NURSE PRACTITIONER
1414 Cross St Ste 210,
Shiloh, IL 62269-2988
Ph: (618) 607-1260 |
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