Lisa Nicole Pena, APN is a medicare enrolled "Nurse Practitioner - Family" in Bensenville, Illinois. Her current practice location is
440 S York Rd, Bensenville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 521-9700.
Lisa Nicole Pena is licensed to practice in Illinois (license number 209018064) 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 1043793417.
Provider's Profile
| Full Name | Lisa Nicole Pena |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 440 S York Rd, Bensenville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043793417
- Provider Enumeration Date: 09/12/2018
- Last Update Date: 11/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113252933
- Enrollment ID: I20190716000731
Medical Identifiers
Medical identifiers for Lisa Nicole Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043793417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209018064 (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 Nicole Pena allows following entities to bill medicare on her behalf.
| Entity Name | Alvaro E Pena |
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| Entity Type | Practitioner - Family Practice |
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| Entity Identifiers | NPI Number: 1447220959
PECOS PAC ID: 2567512726
Enrollment ID: I20090609000474 |
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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 Nicole Pena 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 |
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Lisa Nicole Pena, APN
440 S York Rd,
Bensenville, IL 60106-2631
Ph: (630) 521-9700 | Lisa Nicole Pena, APN
440 S York Rd,
Bensenville, IL 60106-2631
Ph: (630) 521-9700 |
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