Lisa M Benedetto, CNM is a medicare enrolled "Advanced Practice Midwife" in Ithaca, New York. Her current practice location is
132 Indian Creek Rd, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 379-9606.
Lisa M Benedetto is licensed to practice in New York (license number F00149-1) 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 1386968899.
Provider's Profile
| Full Name | Lisa M Benedetto |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 132 Indian Creek Rd, Ithaca, 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: 1386968899
- Provider Enumeration Date: 03/26/2010
- Last Update Date: 05/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678721396
- Enrollment ID: I20120920000718
Medical Identifiers
Medical identifiers for Lisa M Benedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386968899 | NPI | - | NPPES |
| 26371243 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 171868 (Colorado) | Secondary |
| 367A00000X | Advanced Practice Midwife | 13010 (Colorado) | Secondary |
| 367A00000X | Advanced Practice Midwife | F00149-1 (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 M Benedetto allows following entities to bill medicare on her behalf.
| Entity Name | Planned Parenthood Of The Southern Finger Lakes Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881761484
PECOS PAC ID: 4587829353
Enrollment ID: O20120628000285 |
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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 M Benedetto 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 M Benedetto, CNM
132 Indian Creek Rd,
Ithaca, NY 14850-1331
Ph: (607) 379-9606 | Lisa M Benedetto, CNM
132 Indian Creek Rd,
Ithaca, NY 14850-1331
Ph: (607) 379-9606 |
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