Lisa A Evans-thomas, NP - Medicare Nurse Practitioner in Saint Clair Shores, MI

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Lisa A Evans-thomas, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Saint Clair Shores, Michigan. Her current practice location is 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 771-4820.

Lisa A Evans-thomas is licensed to practice in Michigan (license number 4704130480) 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 1609951904.

Contact Information

Lisa A Evans-thomas, NP
20952 E 12 Mile Rd, Suite 200,
Saint Clair Shores, MI 48081-3200
(586) 771-4820
(586) 771-6620

Map and Direction




Provider's Profile

Full NameLisa A Evans-thomas
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location20952 E 12 Mile Rd, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609951904
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 06/26/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0840420121
  • Enrollment ID: I20140807001702

Medical Identifiers

Medical identifiers for Lisa A Evans-thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609951904NPI-NPPES
CB9133OtherMIMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704130480 (Michigan)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. Lisa A Evans-thomas allows following entities to bill medicare on her behalf.
Entity NameMichigan Institute Of Urology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194807693
PECOS PAC ID: 1052223492
Enrollment ID: O20050329001170

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. Lisa A Evans-thomas 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
Lisa A Evans-thomas, NP
20952 E 12 Mile Rd, Suite 200,
Saint Clair Shores, MI 48081-3200

Ph: (586) 771-4820		Lisa A Evans-thomas, NP
20952 E 12 Mile Rd, Suite 200,
Saint Clair Shores, MI 48081-3200

Ph: (586) 771-4820

Reviews and Comments


Nurse Practitioner Nurses in Saint Clair Shores, MI

Nicole Irene Back,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 22213 Love St, Saint Clair Shores, MI 48082
Phone: 734-626-4672    
Carrie L Anderson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081
Phone: 586-771-4820    Fax: 586-771-6620
Jennifer Kulinski, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080
Phone: 586-945-5088    
Mrs. Ayesha Massey Bennett, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081
Phone: 586-884-5656    
Meghan Martinovski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081
Phone: 586-884-5656    
Mr. Ronald August Bonaventura Jr.,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080
Phone: 586-557-8398    
Patricia West, PHD, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080
Phone: 586-447-9070    

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.