Robert Rudolph Lisac, MD - Medicare Pediatrics in Atlanta, GA

Robert Rudolph Lisac, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Atlanta, Georgia. His current practice location is 2015 Uppergate Dr #400, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 778-4834.

Robert Rudolph Lisac is licensed to practice in Georgia (license number 88026) 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 1033613823.

Contact Information

Robert Rudolph Lisac, MD
2015 Uppergate Dr #400,
Atlanta, GA 30322-6511
(404) 778-4834
Not Available

Map and Direction




Physician's Profile

Full NameRobert Rudolph Lisac
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location2015 Uppergate Dr #400, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033613823
  • Provider Enumeration Date: 03/19/2018
  • Last Update Date: 05/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264840354
  • Enrollment ID: I20210408001459

Medical Identifiers

Medical identifiers for Robert Rudolph Lisac such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033613823NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology 88026 (Georgia)Primary

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. Robert Rudolph Lisac 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 AddressPractice Location Address
Robert Rudolph Lisac, MD
2015 Uppergate Dr #400,
Atlanta, GA 30322-0001

Ph: (404) 778-4834
Robert Rudolph Lisac, MD
2015 Uppergate Dr #400,
Atlanta, GA 30322-6511

Ph: (404) 778-4834

Reviews and Comments


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