Lisa Renae Bigelow, is a medicare enrolled "Nurse Practitioner - Family" in Eagar, Arizona. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice White Mountain Communities Hospital, Inc. and her current practice location is
1024 Spanish Trail, P132, Eagar, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 245-0012.
Lisa Renae Bigelow is licensed to practice in Arizona (license number 242067) 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 1700495207.
Provider's Profile
| Full Name | Lisa Renae Bigelow |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1024 Spanish Trail, P132, Eagar, Arizona |
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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 Renae Bigelow graduated from nursing school in 2020
NPI Data:
- NPI Number: 1700495207
- Provider Enumeration Date: 07/30/2020
- Last Update Date: 07/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284041682
- Enrollment ID: I20210331002973
Medical Identifiers
Medical identifiers for Lisa Renae Bigelow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700495207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 242067 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| White Mountain Communities Hospital, Inc. | 1951203512 | 14 |
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 Renae Bigelow allows following entities to bill medicare on her behalf.
| Entity Name | White Mountain Communities Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699766592
PECOS PAC ID: 1951203512
Enrollment ID: O20040123000416 |
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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 Renae Bigelow 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 Renae Bigelow,
606 N Main St,
Eagar, AZ 85925-9813
Ph: (928) 333-5333 | Lisa Renae Bigelow,
1024 Spanish Trail, P132,
Eagar, AZ 85925-8592
Ph: (928) 245-0012 |
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