Lisa L Mcdonald, FNP-C is a medicare enrolled "Nurse Practitioner" in Ellenburg, New York. Her current practice location is
16 St Edmunds Way, Ellenburg, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 594-3500.
Lisa L Mcdonald is licensed to practice in New York (license number F331452-1) 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 1770691016.
Provider's Profile
| Full Name | Lisa L Mcdonald |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 16 St Edmunds Way, Ellenburg, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770691016
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 05/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 9234310681
- Enrollment ID: I20110218000253
Medical Identifiers
Medical identifiers for Lisa L Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770691016 | NPI | - | NPPES |
| 0510G | Other | | EMPIRE BC/BS |
| 02218500 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 370412-1 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | F331452-1 (New York) | 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 L Mcdonald allows following entities to bill medicare on her behalf.
| Entity Name | Plattsburgh Medical Care, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982703070
PECOS PAC ID: 8729088430
Enrollment ID: O20070103000199 |
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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 L Mcdonald 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 L Mcdonald, FNP-C
16 St Edmunds Way, Po Box 94,
Ellenburg, NY 12933-9998
Ph: (518) 594-3500 | Lisa L Mcdonald, FNP-C
16 St Edmunds Way,
Ellenburg, NY 12933-9998
Ph: (518) 594-3500 |
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