Lisa Decarlo, - Medicare Nurse Practitioner in Norwich, CT

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Lisa Decarlo, is a medicare enrolled "Nurse Practitioner - Family" in Norwich, Connecticut. Her current practice location is 330 Washington St, Suite 510, Norwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 885-1308.

Lisa Decarlo is licensed to practice in Connecticut (license number 5857) 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 1528467016.

Contact Information

Lisa Decarlo,
330 Washington St, Suite 510,
Norwich, CT 06360-2700
(860) 885-1308
(860) 889-1982

Map and Direction




Provider's Profile

Full NameLisa Decarlo
GenderFemale
SpecialityNurse Practitioner - Family
Location330 Washington St, Norwich, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528467016
  • Provider Enumeration Date: 08/20/2014
  • Last Update Date: 08/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5496078560
  • Enrollment ID: I20141222000166

Medical Identifiers

Medical identifiers for Lisa Decarlo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528467016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5857 (Connecticut)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 Decarlo allows following entities to bill medicare on her behalf.
Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739
Entity NameGenerations Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228905
PECOS PAC ID: 4880640630
Enrollment ID: O20050324000979
Entity NameHartford Healthcare Urgent Care Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093239683
PECOS PAC ID: 7618242777
Enrollment ID: O20170929001464

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 Decarlo 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 Decarlo,
40 Mansfield Ave,
Willimantic, CT 06226-2018

Ph: (860) 450-7471		Lisa Decarlo,
330 Washington St, Suite 510,
Norwich, CT 06360-2700

Ph: (860) 885-1308

Reviews and Comments


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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.