Lisa Broody, CRNP - Medicare Nurse Practitioner in Media, PA

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Lisa Broody, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Media, Pennsylvania. Her current practice location is 1088 W Baltimore Pike, Suite #2208, Media, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 891-3049.

Lisa Broody is licensed to practice in Pennsylvania (license number SP009148) 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 1487737417.

Contact Information

Lisa Broody, CRNP
1088 W Baltimore Pike, Suite #2208,
Media, PA 19063-5146
(610) 891-3049
(610) 891-3919

Map and Direction




Provider's Profile

Full NameLisa Broody
GenderFemale
SpecialityNurse Practitioner - Family
Location1088 W Baltimore Pike, Media, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487737417
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4284074311
  • Enrollment ID: I20240506003659

Medical Identifiers

Medical identifiers for Lisa Broody such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487737417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP009148 (Pennsylvania)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 Broody allows following entities to bill medicare on her behalf.
Entity NameLewis Family Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790795995
PECOS PAC ID: 2961661491
Enrollment ID: O20120302000047

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 Broody 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 Broody, CRNP
1088 W Baltimore Pike, Suite #2208,
Media, PA 19063-5146

Ph: (610) 891-3049		Lisa Broody, CRNP
1088 W Baltimore Pike, Suite #2208,
Media, PA 19063-5146

Ph: (610) 891-3049

Reviews and Comments


Nurse Practitioner Nurses in Media, PA

Janeen A Franz, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1088 W Baltimore Pike, Suite 2500, Media, PA 19063
Phone: 610-565-4107    Fax: 610-565-8349
Ms. Phuong Ngo, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1068 W Baltimore Pike, Media, PA 19063
Phone: 484-227-3218    
Tanya Ann Kozuch, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 E State St Ste 205, Media, PA 19063
Phone: 610-521-2053    
Kaela Mclaughlin, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1068 W Baltimore Pike, Media, PA 19063
Phone: 484-227-9400    
Rebecca Lynn Mckenna, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1068 W Baltimore Pike, Media, PA 19063
Phone: 484-227-9400    
Maureen Lubas,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1098 W Baltimore Pike, Suite 3101, Media, PA 19063
Phone: 610-891-9277    
Carol L Tanzio, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 176 S New Middletown Rd, Mob, 1st Floor, Media, PA 19063
Phone: 610-627-3690    Fax: 610-627-3684

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.