Piper P Lillard, DO is a medicare enrolled "Family Medicine" physician in Bolton, Connecticut. Her current practice location is
921 Boston Tpke, Suite 2, Bolton, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 646-0649.
Piper P Lillard is licensed to practice in Connecticut (license number 230057) 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 1104920065.
Physician's Profile
Full Name | Piper P Lillard |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 921 Boston Tpke, Bolton, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104920065
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 11/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830254622
- Enrollment ID: I20090211000199
Medical Identifiers
Medical identifiers for Piper P Lillard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104920065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 230057 (Connecticut) | 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. Piper P Lillard allows following entities to bill medicare on her behalf.
Entity Name | Family Medicine Partnership Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306995725 PECOS PAC ID: 0941365738 Enrollment ID: O20090211000177 |
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Entity Name | Gps Physician Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180206000646 |
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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. Piper P Lillard 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 |
Piper P Lillard, DO 54 Eastbrook Hts Apt B, Mansfield Center, CT 06250-1669 Ph: (860) 456-0586 | Piper P Lillard, DO 921 Boston Tpke, Suite 2, Bolton, CT 06043-7403 Ph: (860) 646-0649 |
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