Lisa M Gavosto, APRN in Tampa, FL - Medicare Nurse Practitioner

Lisa M Gavosto, APRN is a medicare enrolled "Nurse Practitioner" in Tampa, Florida. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ohi West Medical Group Ii Llc, Florida Medical Clinic Llc and her current practice location is 3000 Medical Park Dr, Suite 150, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 977-2020.

Lisa M Gavosto is licensed to practice in Florida (license number APRN9190830) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174853923.

Contact Information

	Lisa M Gavosto, APRN
	3000 Medical Park Dr, Suite 150, Tampa, FL 33613-4680
	(813) 977-2020
	(813) 355-5010

Map and Direction

Provider's Profile

Full Name	Lisa M Gavosto
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	3000 Medical Park Dr, Tampa, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa M Gavosto graduated from nursing school in 2009

NPI Data:

NPI Number: 1174853923
Provider Enumeration Date: 12/29/2009
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6406020064
Enrollment ID: I20111116000259

Medical Identifiers

Medical identifiers for Lisa M Gavosto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174853923	NPI	-	NPPES
P01191553	Other	FL	R&R MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	ARNP9190830 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN9190830 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN9190830 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Josephs Hospital	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohi West Medical Group Ii Llc	0648631192	310
Florida Medical Clinic Llc	9931003068	364

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 Gavosto allows following entities to bill medicare on her behalf.

Entity Name	Florida Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962

Entity Name	Ohi West Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130

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 Gavosto 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 Gavosto, APRN 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 528-4975	Lisa M Gavosto, APRN 3000 Medical Park Dr, Suite 150, Tampa, FL 33613-4680 Ph: (813) 977-2020

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Lisa M Gavosto, APRN - Medicare Nurse Practitioner in Tampa, FL