Lisa Kotula, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Harrison Twp, Michigan. Lisa Kotula is licensed to practice in Michigan (license number 4704212792) and her current practice location is
25912 Ashby Dr, Harrison Twp, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 242-6623.
NPI number for Lisa Kotula is 1639912298 and her current mailing address is 25912 Ashby Dr, Harrison Twp, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639912298.
Provider's Profile
Full Name | Lisa Kotula |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 25912 Ashby Dr, Harrison Twp, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639912298
- Provider Enumeration Date: 06/13/2024
- Last Update Date: 06/13/2024
Medical Identifiers
Medical identifiers for Lisa Kotula such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639912298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704212792 (Michigan) | Primary |
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 Kotula is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Kotula, PMHNP 25912 Ashby Dr, Harrison Twp, MI 48045-3081 Ph: (586) 242-6623 | Lisa Kotula, PMHNP 25912 Ashby Dr, Harrison Twp, MI 48045-3081 Ph: (586) 242-6623 |
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