Lisa Ann Fishback, FNP-BC in Frankfort, IL - Medicare Nurse Practitioner

Lisa Ann Fishback, FNP-BC is a medicare enrolled "Nurse Practitioner" in Frankfort, Illinois. Her current practice location is 7626 W Hickory Creek Dr, Frankfort, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 212-4225.

Lisa Ann Fishback is licensed to practice in Illinois (license number 209026609) 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 1790490522.

Contact Information

	Lisa Ann Fishback, FNP-BC
	7626 W Hickory Creek Dr, Frankfort, IL 60423-9095
	(815) 212-4225
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Ann Fishback
Gender	Female
Speciality	Nurse Practitioner
Location	7626 W Hickory Creek Dr, Frankfort, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790490522
Provider Enumeration Date: 01/17/2023
Last Update Date: 01/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5799149571
Enrollment ID: I20230912003333

Medical Identifiers

Medical identifiers for Lisa Ann Fishback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790490522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209026609 (Illinois)	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 Ann Fishback allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451

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 Ann Fishback 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
Lisa Ann Fishback, FNP-BC 7626 W Hickory Creek Dr, Frankfort, IL 60423-9095 Ph: (815) 212-4225	Lisa Ann Fishback, FNP-BC 7626 W Hickory Creek Dr, Frankfort, IL 60423-9095 Ph: (815) 212-4225

Reviews and Comments

Nurse Practitioner Nurses in Frankfort, IL

Cynthia Kay Bouffard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20960 S Frankfort Square Rd Ste C, Frankfort, IL 60423 Phone: 815-469-7100
Ese Adiman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20180 S La Grange Rd, Frankfort, IL 60423 Phone: 779-333-7965
Erin Renee Hurley, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10209 W Lincoln Hwy, Frankfort, IL 60423 Phone: 708-998-2979
Mrs. Susan D Thompson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20015 N Lagrange Rd, Frankfort, IL 60423 Phone: 815-649-1910
Mrs. Grace Divina Esmalla, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10209 W Lincoln Hwy, Frankfort, IL 60423 Phone: 708-998-2979
Emmy Roesel, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20960 S Frankfort Square Rd Ste C, Frankfort, IL 60423 Phone: 815-469-7100
Lovelyne A Ngeche, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8115 W Duane Dr, Frankfort, IL 60423 Phone: 424-653-4014

Lisa Ann Fishback, FNP-BC - Medicare Nurse Practitioner in Frankfort, IL