Lisa Fletcher Dovoedo, NP is a medicare enrolled "Hospitalist" in Charlotte, North Carolina. Her current practice location is
1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 355-0720.
Lisa Fletcher Dovoedo is licensed to practice in North Carolina (license number 5016845) 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 1790406080.
Provider's Profile
| Full Name | Lisa Fletcher Dovoedo |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790406080
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395113757
- Enrollment ID: I20221116002425
Medical Identifiers
Medical identifiers for Lisa Fletcher Dovoedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790406080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5016845 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 5016845 (North Carolina) | 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 Fletcher Dovoedo allows following entities to bill medicare on her behalf.
| Entity Name | Carolinas Physicians Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455 |
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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 Fletcher Dovoedo 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 |
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Lisa Fletcher Dovoedo, NP
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Lisa Fletcher Dovoedo, NP
1000 Blythe Blvd,
Charlotte, NC 28203-5812
Ph: (704) 355-0720 |
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