Lisa Kolecki, is a medicare enrolled "Nurse Practitioner - Gerontology" in Richfield, Ohio. Her current practice location is
4360 Brecksville Rd, Richfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Lisa Kolecki is licensed to practice in Ohio (license number APRN.CNP.0033112) 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 1730965054.
Provider's Profile
| Full Name | Lisa Kolecki |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 4360 Brecksville Rd, Richfield, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1730965054
- Provider Enumeration Date: 09/01/2023
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769846203
- Enrollment ID: I20230915002704
Medical Identifiers
Medical identifiers for Lisa Kolecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730965054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0033112 (Ohio) | 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 Kolecki allows following entities to bill medicare on her behalf.
| Entity Name | Ultra Health Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20191230002589 |
|---|
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 Kolecki 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 Kolecki,
36 Pemberton Cv,
Jackson, TN 38305-5514
Ph: () - | Lisa Kolecki,
4360 Brecksville Rd,
Richfield, OH 44286-9457
Ph: (731) 394-1145 |
Reviews and Comments