Lisa Deptula, PA-C - Physician Assistant in San Rafael, CA

Lisa Deptula, PA-C is a Physician Assistant based in San Rafael, California. Lisa Deptula is licensed to practice in California (license number PA54017) and her current practice location is 2144 4th St Ste A, San Rafael, California. She can be reached at her office (for appointments etc.) via phone at (415) 390-2060.

NPI number for Lisa Deptula is 1184052508 and her current mailing address is 2144 4th St Ste A, San Rafael, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184052508.

Contact Information

Lisa Deptula, PA-C
2144 4th St Ste A,
San Rafael, CA 94901
(415) 390-2060
Not Available

Map and Direction




Provider's Profile

Full NameLisa Deptula
GenderFemale
SpecialityPhysician Assistant
Location2144 4th St Ste A, San Rafael, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184052508
  • Provider Enumeration Date: 10/22/2013
  • Last Update Date: 12/26/2018

Medical Identifiers

Medical identifiers for Lisa Deptula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184052508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA54017 (California)Primary
363A00000XPhysician Assistant 5601006710 (Michigan)Secondary

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 Deptula is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Deptula, PA-C
2144 4th St Ste A,
San Rafael, CA 94901-2668

Ph: () -
Lisa Deptula, PA-C
2144 4th St Ste A,
San Rafael, CA 94901

Ph: (415) 390-2060

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).

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