Brenda Lis, - Medicare Nurse Practitioner in Buffalo, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Buffalo
Brenda Lis, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Buffalo, New York. Her current practice location is 69 Delaware Ave, Suite 1200, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 852-5900.

Brenda Lis is licensed to practice in New York (license number 403392) 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 1467908244.

Contact Information

Brenda Lis,
69 Delaware Ave, Suite 1200,
Buffalo, NY 14202
(716) 852-5900
Not Available

Map and Direction




Provider's Profile

Full NameBrenda Lis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location69 Delaware Ave, Buffalo, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467908244
  • Provider Enumeration Date: 08/31/2016
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567871593
  • Enrollment ID: I20210504001664

Medical Identifiers

Medical identifiers for Brenda Lis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467908244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 403392 (New York)Primary
163WX0106XRegistered Nurse - Occupational Health 412294-1 (New York)Secondary

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. Brenda Lis allows following entities to bill medicare on her behalf.
Entity NameForefront Behavioral Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558874586
PECOS PAC ID: 6103186853
Enrollment ID: O20180131002382
Entity NameTanvir Shagar Np In Family Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871160515
PECOS PAC ID: 1658775606
Enrollment ID: O20210812001771

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. Brenda Lis 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
Brenda Lis,
4373 Clinton Street,
West Seneca, NY 14224

Ph: () -		Brenda Lis,
69 Delaware Ave, Suite 1200,
Buffalo, NY 14202

Ph: (716) 852-5900

Reviews and Comments


Nurse Practitioner Nurses in Buffalo, NY

Mr. V. Thomas Chapin, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 462 Grider St, Buffalo, NY 14215
Phone: 716-898-3000    
Beth Lyn Vaccarelli, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210
Phone: 716-995-4450    
Ms. Denise Marie Donahue, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 High St, Buffalo, NY 14203
Phone: 716-859-5600    
Mr. Jerry L Corp Ii, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 255 Delaware Ave, Buffalo, NY 14202
Phone: 716-884-0888    
Stephanie Erin Myszka, F.N.P.- BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Elm And Carlton St, Buffalo, NY 14263
Phone: 716-845-2300    
Jessica Lynn Hafezi,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Elm And Carlton Streets, Buffalo, NY 14263
Phone: 716-845-2300    
Yevgeniya S Lipina, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210
Phone: 716-995-4450    Fax: 844-206-7424

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.