Lisa K Sprague, CNP is a medicare enrolled "Nurse Practitioner - Family" in Barry, Illinois. She went to Saint Louis University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Quincy Physicians And Surgeons Clinic, Pllc and her current practice location is
868 Mortimer St, Barry, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 335-2343.
Lisa K Sprague is licensed to practice in Illinois (license number 209012735) 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 1346627536.
Provider's Profile
| Full Name | Lisa K Sprague |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 868 Mortimer St, Barry, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa K Sprague attended and graduated from Saint Louis University School Of Medicine in 2014
NPI Data:
- NPI Number: 1346627536
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446570048
- Enrollment ID: I20150521002433
Medical Identifiers
Medical identifiers for Lisa K Sprague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346627536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 209012735 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209012735 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Quincy Physicians And Surgeons Clinic, Pllc | 0749192375 | 199 |
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 K Sprague allows following entities to bill medicare on her behalf.
| Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548234198
PECOS PAC ID: 0749192375
Enrollment ID: O20031103000445 |
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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 K Sprague 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 K Sprague, CNP
1025 Maine St,
Quincy, IL 62301-4038
Ph: (217) 222-6550 | Lisa K Sprague, CNP
868 Mortimer St,
Barry, IL 62312-1249
Ph: (217) 335-2343 |
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