Lisa Sytsma, is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Colfax, Iowa. Her current practice location is
107 N Walnut St, Colfax, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 674-9020.
Lisa Sytsma is licensed to practice in Iowa (license number A133377) 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 1770937682.
Provider's Profile
Full Name | Lisa Sytsma |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 107 N Walnut St, Colfax, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770937682
- Provider Enumeration Date: 04/17/2016
- Last Update Date: 12/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 0446549315
- Enrollment ID: I20231017003210
Medical Identifiers
Medical identifiers for Lisa Sytsma such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770937682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | A133377 (Iowa) | Secondary |
364SF0001X | Clinical Nurse Specialist - Family Health | A133377 (Iowa) | 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 Sytsma allows following entities to bill medicare on her behalf.
Entity Name | Pcma Palliative Division Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629585054 PECOS PAC ID: 1456613637 Enrollment ID: O20210421001740 |
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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 Sytsma 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 Sytsma, 107 N Walnut St, Colfax, IA 50054-1039 Ph: (515) 674-9020 | Lisa Sytsma, 107 N Walnut St, Colfax, IA 50054-1039 Ph: (515) 674-9020 |
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