Lisa J Guzman, NP in Warsaw, IN - Medicare Nurse Practitioner

Lisa J Guzman, NP is a medicare enrolled "Nurse Practitioner - Family" in Warsaw, Indiana. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kosciusko Medical Group Llc and her current practice location is 1520 Provident Dr, Warsaw, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 372-3800.

Lisa J Guzman is licensed to practice in Indiana (license number 70000128A) 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 1790886257.

Contact Information

	Lisa J Guzman, NP
	1520 Provident Dr, Warsaw, IN 46580-3291
	(574) 372-3800
	(574) 372-3810

Map and Direction

Provider's Profile

Full Name	Lisa J Guzman
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1520 Provident Dr, Warsaw, Indiana
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 J Guzman graduated from nursing school in 2013

NPI Data:

NPI Number: 1790886257
Provider Enumeration Date: 09/26/2006
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 2769394626
Enrollment ID: I20180416001397

Medical Identifiers

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

Identifier	Type	State	Issuer
1790886257	NPI	-	NPPES
199790	Other	IN	MCARE PART A PROV #
626820	Other	IN	MCARE GROUP PROV #
437901	Other	IL	MCARE GROUP PROV #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	70000128A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kosciusko Community Hospital	Warsaw, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kosciusko Medical Group Llc	5496809956	50

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 J Guzman allows following entities to bill medicare on her behalf.

Entity Name	Kosciusko Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398

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 J Guzman 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 J Guzman, NP 1520 Provident Dr, Warsaw, IN 46580-3291 Ph: (574) 372-3800	Lisa J Guzman, NP 1520 Provident Dr, Warsaw, IN 46580-3291 Ph: (574) 372-3800

Reviews and Comments

Nurse Practitioner Nurses in Warsaw, IN

Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Provident Dr, Warsaw, IN 46580 Phone: 574-372-3800 Fax: 574-372-5823
Sara M. Vanlaningham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554
Dr. Amy Deion Stitt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 765-425-5576
Alissa Whittaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-371-9550 Fax: 574-376-4793
Tara Janae Little, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-269-8383 Fax: 260-479-2911
Mrs. Candace G Lemke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-1700
Kayla R Cottrill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134

Lisa J Guzman, NP - Medicare Nurse Practitioner in Warsaw, IN