Lisa Endanattu, FNP-BC in Nutley, NJ - Medicare Nurse Practitioner

Lisa Endanattu, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Nutley, New Jersey. Her current practice location is 88 Park Ave Ste 2a, Nutley, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 571-2121.

Lisa Endanattu is licensed to practice in New York (license number 350529) 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 1639894793.

Contact Information

	Lisa Endanattu, FNP-BC
	88 Park Ave Ste 2a, Nutley, NJ 07110-3500
	(973) 571-2121
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Endanattu
Gender	Female
Speciality	Nurse Practitioner - Family
Location	88 Park Ave Ste 2a, Nutley, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639894793
Provider Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2466824909
Enrollment ID: I20230210000616

Medical Identifiers

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

Identifier	Type	State	Issuer
1639894793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	350529 (New York)	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 Endanattu allows following entities to bill medicare on her behalf.

Entity Name	Schweiger Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104229392 PECOS PAC ID: 0143442806 Enrollment ID: O20141112002172

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 Endanattu 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 Endanattu, FNP-BC 9 E Palisades Ave, Nanuet, NY 10954-3345 Ph: (845) 709-1490	Lisa Endanattu, FNP-BC 88 Park Ave Ste 2a, Nutley, NJ 07110-3500 Ph: (973) 571-2121

Reviews and Comments

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Mrs. Melissa Dawn Algieri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 242 Washington Ave, Nutley, NJ 07110 Phone: 973-667-6676 Fax: 973-667-6029
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Lisa Endanattu, FNP-BC - Medicare Nurse Practitioner in Nutley, NJ