Lisa Marie Koumoulos, APN in North Bergen, NJ

Lisa Marie Koumoulos, APN is a medicare enrolled "Nurse Practitioner" in North Bergen, New Jersey. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Excelcare Medical Associates Pa and her current practice location is 7600 River Rd, North Bergen, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 854-5000.

Lisa Marie Koumoulos is licensed to practice in New Jersey (license number 26NJ01081600) 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 1700482866.

Contact Information

	Lisa Marie Koumoulos, APN
	7600 River Rd, North Bergen, NJ 07047-6217
	(201) 854-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Marie Koumoulos
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	7600 River Rd, North Bergen, New Jersey
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 Marie Koumoulos graduated from nursing school in 2020

NPI Data:

NPI Number: 1700482866
Provider Enumeration Date: 12/04/2020
Last Update Date: 12/04/2020

Medicare PECOS Information:

PECOS PAC ID: 9335545573
Enrollment ID: I20210914000017

Medical Identifiers

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

Identifier	Type	State	Issuer
1700482866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	26NJ01081600 (New Jersey)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	26NJ01081600 (New Jersey)	Secondary
363L00000X	Nurse Practitioner	26NJ01081600 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hackensack University Medical Center	Hackensack, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Excelcare Medical Associates Pa	4284647868	176

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 Koumoulos allows following entities to bill medicare on her behalf.

Entity Name	North Jersey Internal Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114027885 PECOS PAC ID: 6103840731 Enrollment ID: O20060125000758

Entity Name	Excelcare Medical Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992736300 PECOS PAC ID: 4284647868 Enrollment ID: O20060727000044

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 Koumoulos 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 Koumoulos, APN 156 Park Ave Unit 384, Rutherford, NJ 07070-6818 Ph: (551) 206-8615	Lisa Marie Koumoulos, APN 7600 River Rd, North Bergen, NJ 07047-6217 Ph: (201) 854-5000

Reviews and Comments

Nurse Practitioner Nurses in North Bergen, NJ

Lovely Abraham, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9252 Kennedy Blvd Apt 407, North Bergen, NJ 07047 Phone: 201-370-1816
Ms. Lauren Michele De Lucia, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7617 Kennedy Blvd, North Bergen, NJ 07047 Phone: 201-854-1500 Fax: 201-854-1505
Mr. Aleksandar Anthony Ivanovski, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7600 River Rd, North Bergen, NJ 07047 Phone: 201-854-5000
Dr. Michele L Gruner, DNP, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7600 River Rd, North Bergen, NJ 07047 Phone: 201-694-5810 Fax: 201-854-5797
Miss Jennifer Hahn, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7600 River Rd, North Bergen, NJ 07047 Phone: 201-854-5704
Zahia Zhort, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7823 Bergenline Ave, North Bergen, NJ 07047 Phone: 201-868-9449
Michelle Gonzalez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8901 Kennedy Blvd, North Bergen, NJ 07047 Phone: 201-430-2022

Lisa Marie Koumoulos, APN - Medicare Nurse Practitioner in North Bergen, NJ