Lisa Ann Mack, NP in Lebanon, NH - Medicare Nurse Practitioner

Lisa Ann Mack, NP is a medicare enrolled "Nurse Practitioner - Family" in Lebanon, New Hampshire. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dartmouth-hitchcock Clinic, Mary Hitchcock Memorial Hospital and her current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 650-5091.

Lisa Ann Mack is licensed to practice in New Hampshire (license number 049919-23) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205587896.

Contact Information

	Lisa Ann Mack, NP
	1 Medical Center Dr, Lebanon, NH 03756-0001
	(603) 650-5091
	(603) 650-4986

Map and Direction

Provider's Profile

Full Name	Lisa Ann Mack
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Ann Mack graduated from nursing school in 2021

NPI Data:

NPI Number: 1205587896
Provider Enumeration Date: 01/14/2022
Last Update Date: 02/07/2022

Medicare PECOS Information:

PECOS PAC ID: 3577957448
Enrollment ID: I20220219000008

Medical Identifiers

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

Identifier	Type	State	Issuer
1205587896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	049919-23 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital
Northeastern Vermont Regional Hospital	Saint johnsbury, VT	Hospital
Alice Peck Day Memorial Hospital	Lebanon, NH	Hospital
New London Hospital	New london, NH	Hospital
Cheshire Medical Center	Keene, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dartmouth-hitchcock Clinic	4183537509	1138
Mary Hitchcock Memorial Hospital	4486561164	955

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 Mack allows following entities to bill medicare on her behalf.

Entity Name	Mary Hitchcock Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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 Mack 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 Mack, NP 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-6054	Lisa Ann Mack, NP 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5091

Reviews and Comments

Nurse Practitioner Nurses in Lebanon, NH

Mrs. Janice M Brennan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc Department Of Occupation Medicine, Lebanon, NH 03756 Phone: 603-560-5000 Fax: 603-650-0787
Meredith Anne Stringer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Carol Williams-suich, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3122 Fax: 603-448-7491
Cassandra M Godzik, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7232
Deann Opal Mcnamara, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Emily L Swann, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Dr, Lebanon, NH 03756 Phone: 603-650-6224
Molly P Keady, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-8622

Lisa Ann Mack, NP - Medicare Nurse Practitioner in Lebanon, NH