Lisa Mae Mackaluso, APRN, FNP-C in Port Huron, MI

Lisa Mae Mackaluso, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Port Huron, Michigan. Her current practice location is 2601 Electric Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 216-1500.

Lisa Mae Mackaluso is licensed to practice in Michigan (license number 4704252035) 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 1740852771.

Contact Information

	Lisa Mae Mackaluso, APRN, FNP-C
	2601 Electric Ave, Port Huron, MI 48060-6587
	(810) 216-1500
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Mae Mackaluso
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2601 Electric Ave, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740852771
Provider Enumeration Date: 07/09/2021
Last Update Date: 01/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2769875574
Enrollment ID: I20220131000609

Medical Identifiers

Medical identifiers for Lisa Mae Mackaluso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740852771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704252035 (Michigan)	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 Mae Mackaluso allows following entities to bill medicare on her behalf.

Entity Name	Ihp Mi Emergency Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861147456 PECOS PAC ID: 2365821634 Enrollment ID: O20220616000277

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 Mae Mackaluso 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 Mae Mackaluso, APRN, FNP-C 2601 Electric Ave, Port Huron, MI 48060-6587 Ph: (810) 216-1500	Lisa Mae Mackaluso, APRN, FNP-C 2601 Electric Ave, Port Huron, MI 48060-6587 Ph: (810) 216-1500

Reviews and Comments

Nurse Practitioner Nurses in Port Huron, MI

Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000
Justine Schrader, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120

Lisa Mae Mackaluso, APRN, FNP-C - Medicare Nurse Practitioner in Port Huron, MI