Lisa Marie Fontanini, in Long Grove, IL - Medicare Nurse Practitioner

Lisa Marie Fontanini, is a medicare enrolled "Nurse Practitioner" in Long Grove, Illinois. Her current practice location is 1226 Manassas Ln, Long Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 457-3963.

Lisa Marie Fontanini is licensed to practice in Illinois (license number 209.026950) 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 1922798701.

Contact Information

	Lisa Marie Fontanini,
	1226 Manassas Ln, Long Grove, IL 60047-5085
	(773) 457-3963
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Marie Fontanini
Gender	Female
Speciality	Nurse Practitioner
Location	1226 Manassas Ln, Long Grove, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922798701
Provider Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0840653135
Enrollment ID: I20230905001660

Medical Identifiers

Medical identifiers for Lisa Marie Fontanini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922798701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.026950 (Illinois)	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 Marie Fontanini allows following entities to bill medicare on her behalf.

Entity Name	Advanced Endocrionology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346324985 PECOS PAC ID: 6103870951 Enrollment ID: O20050304000452

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 Marie Fontanini 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 Marie Fontanini, 1226 Manassas Ln, Long Grove, IL 60047-5085 Ph: (773) 457-3963	Lisa Marie Fontanini, 1226 Manassas Ln, Long Grove, IL 60047-5085 Ph: (773) 457-3963

Reviews and Comments

Nurse Practitioner Nurses in Long Grove, IL

Helen E Okorie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265
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Julie A Grandolfo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265
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Angela Rose Depa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265

Lisa Marie Fontanini, - Medicare Nurse Practitioner in Long Grove, IL