Lisa G Glass, APRN in Louisville, KY - Medicare Nurse Practitioner

Lisa G Glass, APRN is a medicare enrolled "Nurse Practitioner - Women's Health" in Louisville, Kentucky. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Park Duvalle Community Health Center, Inc and her current practice location is 3015 Wilson Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 774-4401.

Lisa G Glass is licensed to practice in Kentucky (license number 3002970) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275534091.

Contact Information

	Lisa G Glass, APRN
	3015 Wilson Ave, Louisville, KY 40211-1969
	(502) 774-4401
	(502) 772-4783

Map and Direction

Provider's Profile

Full Name	Lisa G Glass
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	3015 Wilson Ave, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa G Glass graduated from nursing school in 1999

NPI Data:

NPI Number: 1275534091
Provider Enumeration Date: 08/02/2005
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2264511229
Enrollment ID: I20080502000330

Medical Identifiers

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

Identifier	Type	State	Issuer
1275534091	NPI	-	NPPES
000000066843	Other		BLUE ACCESS/BLUE PREF.
61-1708562D	Other		HUMANA
78029709	Medicaid	KY
7719001	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	3002970 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Duvalle Community Health Center, Inc	1658268974	20

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 G Glass allows following entities to bill medicare on her behalf.

Entity Name	Park Duvalle Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354361 PECOS PAC ID: 1658268974 Enrollment ID: O20040302000539

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 G Glass 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 G Glass, APRN 3015 Wilson Ave, Louisville, KY 40211-1969 Ph: (502) 774-4401	Lisa G Glass, APRN 3015 Wilson Ave, Louisville, KY 40211-1969 Ph: (502) 774-4401

Reviews and Comments

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Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Lisa G Glass, APRN - Medicare Nurse Practitioner in Louisville, KY