Suzan Olivia Lisenby, MD in Saint Joseph, MO - Medicare Physical Medicine & Rehabilitation

Suzan Olivia Lisenby, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Saint Joseph, Missouri. Her current practice location is 5301 Faraon St Ste 200, Saint Joseph, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 271-7673.

Suzan Olivia Lisenby is licensed to practice in Missouri (license number 2022033965) 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 1629572771.

Contact Information

	Suzan Olivia Lisenby, MD
	5301 Faraon St Ste 200, Saint Joseph, MO 64506-3829
	(816) 271-7673
	(816) 271-4924

Map and Direction

Physician's Profile

Full Name	Suzan Olivia Lisenby
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	5301 Faraon St Ste 200, Saint Joseph, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629572771
Provider Enumeration Date: 03/22/2018
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6406289446
Enrollment ID: I20220913000802

Medical Identifiers

Medical identifiers for Suzan Olivia Lisenby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629572771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	11405437-1205 (Utah)	Secondary
208100000X	Physical Medicine & Rehabilitation	2022033965 (Missouri)	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. Suzan Olivia Lisenby allows following entities to bill medicare on her behalf.

Entity Name	Heartland Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201

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. Suzan Olivia Lisenby 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
Suzan Olivia Lisenby, MD 5301 Faraon St Ste 200, Saint Joseph, MO 64506-3829 Ph: (816) 271-7673	Suzan Olivia Lisenby, MD 5301 Faraon St Ste 200, Saint Joseph, MO 64506-3829 Ph: (816) 271-7673

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Saint Joseph, MO

Dr. Kenton C. Freeman, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 218 S Woodbine Rd, Saint Joseph, MO 64506 Phone: 816-383-3680
Anne A. Idiculla, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 802 N Riverside Rd, Suite 260, Saint Joseph, MO 64507 Phone: 816-271-7673 Fax: 816-271-4924
Mrs. Jessica Nicole Bledsoe, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3302 N Woodbine Rd, Saint Joseph, MO 64505 Phone: 816-820-8968
William A. Dodson, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 802 N Riverside Rd, Suite 150, Saint Joseph, MO 64507 Phone: 816-271-4025 Fax: 816-271-4026
Sydni Marie Kaden, MS, LAT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507 Phone: 816-271-6664 Fax: 816-271-4924
Dr. Anthony Ezemba, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5301 Faraon St Ste 200, Saint Joseph, MO 64506 Phone: 816-271-7673 Fax: 816-271-4924
Dr. Peter Anthony Dawson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507 Phone: 816-271-7673 Fax: 816-271-4924

Suzan Olivia Lisenby, MD - Medicare Physical Medicine & Rehabilitation in Saint Joseph, MO