Christine Lisa, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hillsdale, New Jersey. Her current practice location is
297 Hillsdale Ave, Hillsdale, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 880-7440.
Christine Lisa is licensed to practice in New Jersey (license number 26NJ00972100) 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 1184266983.
Provider's Profile
| Full Name | Christine Lisa |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 297 Hillsdale Ave, Hillsdale, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184266983
- Provider Enumeration Date: 10/13/2019
- Last Update Date: 07/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062848344
- Enrollment ID: I20200205000090
Medical Identifiers
Medical identifiers for Christine Lisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184266983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00972100 (New Jersey) | 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. Christine Lisa allows following entities to bill medicare on her behalf.
| Entity Name | Nynj Psychiatric Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477859544
PECOS PAC ID: 2961689989
Enrollment ID: O20110531000452 |
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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. Christine Lisa 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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Christine Lisa, PMHNP
297 Hillsdale Ave,
Hillsdale, NJ 07642-2212
Ph: (201) 880-7440 | Christine Lisa, PMHNP
297 Hillsdale Ave,
Hillsdale, NJ 07642-2212
Ph: (201) 880-7440 |
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