Lisa Rae Downton, CNM is a medicare enrolled "Advanced Practice Midwife" in Edgewood, Kentucky. She went to University Of Cincinnati College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Summit Medical Group, Inc and her current practice location is
20 Medical Village Dr, Edgewood, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 331-4665.
Lisa Rae Downton is licensed to practice in Kentucky (license number 3008221) 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 1144560996.
Provider's Profile
| Full Name | Lisa Rae Downton |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 12 Years |
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| Location | 20 Medical Village Dr, Edgewood, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Rae Downton attended and graduated from University Of Cincinnati College Of Medicine in 2012
NPI Data:
- NPI Number: 1144560996
- Provider Enumeration Date: 02/15/2013
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547495947
- Enrollment ID: I20131018001728
Medical Identifiers
Medical identifiers for Lisa Rae Downton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144560996 | NPI | - | NPPES |
| 0087193 | Medicaid | OH | |
| 7100261840 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 3008221 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summit Medical Group, Inc | 2163326240 | 712 |
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 Rae Downton allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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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 Rae Downton 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 Rae Downton, CNM
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 912-6500 | Lisa Rae Downton, CNM
20 Medical Village Dr,
Edgewood, KY 41017-5401
Ph: (859) 331-4665 |
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