Lisa Marie Harrelson, DNP in Philadelphia, PA

Lisa Marie Harrelson, DNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 4453 Castor Ave Ste B, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 744-2266.

Lisa Marie Harrelson is licensed to practice in Pennsylvania (license number SP026175) 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 1013636729.

Contact Information

	Lisa Marie Harrelson, DNP
	4453 Castor Ave Ste B, Philadelphia, PA 19124-3846
	(215) 744-2266
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Marie Harrelson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4453 Castor Ave Ste B, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013636729
Provider Enumeration Date: 08/25/2022
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6204296296
Enrollment ID: I20230724000025

Medical Identifiers

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

Identifier	Type	State	Issuer
1013636729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP026175 (Pennsylvania)	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 Harrelson allows following entities to bill medicare on her behalf.

Entity Name	Metropolitan Nephrology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417900630 PECOS PAC ID: 3779566732 Enrollment ID: O20040610000797

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 Harrelson 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 Harrelson, DNP 4453 Castor Ave Ste B, Philadelphia, PA 19124-3846 Ph: (215) 744-2266	Lisa Marie Harrelson, DNP 4453 Castor Ave Ste B, Philadelphia, PA 19124-3846 Ph: (215) 744-2266

Reviews and Comments

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Lisa Marie Harrelson, DNP - Medicare Nurse Practitioner in Philadelphia, PA