Lisa R Fetterman, CRNP in Scranton, PA - Medicare Nurse Practitioner

Lisa R Fetterman, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Scranton, Pennsylvania. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Scranton Quincy Clinic Company Llc and her current practice location is 748 Quincy Ave, Suite 2a, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 961-0851.

Lisa R Fetterman is licensed to practice in Pennsylvania (license number VP005134B) 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 1316980303.

Contact Information

	Lisa R Fetterman, CRNP
	748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739
	(570) 961-0851
	(570) 344-4285

Map and Direction

Provider's Profile

Full Name	Lisa R Fetterman
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	748 Quincy Ave, Scranton, Pennsylvania
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 R Fetterman graduated from nursing school in 1998

NPI Data:

NPI Number: 1316980303
Provider Enumeration Date: 06/14/2006
Last Update Date: 08/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6103011507
Enrollment ID: I20101111000186

Medical Identifiers

Medical identifiers for Lisa R Fetterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316980303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN298283L (Pennsylvania)	Secondary
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	VP005134B (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	VP005134B (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regional Hospital Of Scranton	Scranton, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scranton Quincy Clinic Company Llc	0143487389	55

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 R Fetterman allows following entities to bill medicare on her behalf.

Entity Name	Scranton Quincy Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544

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 R Fetterman 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 R Fetterman, CRNP 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 Ph: (570) 961-0851	Lisa R Fetterman, CRNP 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 Ph: (570) 961-0851

Reviews and Comments

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Lisa R Fetterman, CRNP - Medicare Nurse Practitioner in Scranton, PA