Jennifer Anne Lisa, PMHNP-BC in Dundalk, MD - Medicare Nurse Practitioner

Jennifer Anne Lisa, PMHNP-BC is a medicare enrolled "Nurse Practitioner" in Dundalk, Maryland. Her current practice location is 1576 Merritt Blvd Ste 8, Dundalk, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 530-6921.

Jennifer Anne Lisa is licensed to practice in Maryland (license number R178139) 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 1245014869.

Contact Information

	Jennifer Anne Lisa, PMHNP-BC
	1576 Merritt Blvd Ste 8, Dundalk, MD 21222-2114
	(443) 530-6921
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Anne Lisa
Gender	Female
Speciality	Nurse Practitioner
Location	1576 Merritt Blvd Ste 8, Dundalk, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245014869
Provider Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0042754020
Enrollment ID: I20240701003954

Medical Identifiers

Medical identifiers for Jennifer Anne Lisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245014869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R178139 (Maryland)	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. Jennifer Anne Lisa allows following entities to bill medicare on her behalf.

Entity Name	Aspire Wellness Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780971630 PECOS PAC ID: 2961685706 Enrollment ID: O20110331000650

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. Jennifer Anne 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
Jennifer Anne Lisa, PMHNP-BC 1576 Merritt Blvd Ste 8, Dundalk, MD 21222-2114 Ph: (443) 530-6921	Jennifer Anne Lisa, PMHNP-BC 1576 Merritt Blvd Ste 8, Dundalk, MD 21222-2114 Ph: (443) 530-6921

Reviews and Comments

Nurse Practitioner Nurses in Dundalk, MD

Cara Reske, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1792 Merritt Blvd, Dundalk, MD 21222 Phone: 410-284-1133 Fax: 410-284-3371
Betty Githuku, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 S Dundalk Ave Ste 400, Dundalk, MD 21222 Phone: 410-220-0780
Michelle Joffe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2112 Dundalk Ave, Dundalk, MD 21222 Phone: 410-288-4800
Mrs. Phyllis Jennings, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1576 Merritt Blvd Ste 14, Dundalk, MD 21222 Phone: 410-650-2000 Fax: 866-639-5353
Emily Whitty, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2800 Sollers Point Rd, Dundalk, MD 21222 Phone: 410-288-6226
Maria Lourdes Evangelista, CRNP-FAMILY Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1576 Merritt Blvd Ste 18, Dundalk, MD 21222 Phone: 855-527-7246 Fax: 866-229-5063

Jennifer Anne Lisa, PMHNP-BC - Medicare Nurse Practitioner in Dundalk, MD