Lisa Tindall, is a medicare enrolled "Nurse Practitioner" in Menard, Illinois. Her current practice location is
711 Kaskaskia St, Menard, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 826-5071.
Lisa Tindall is licensed to practice in Illinois (license number 209014141) 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 1578918561.
Provider's Profile
| Full Name | Lisa Tindall |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 711 Kaskaskia St, Menard, 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: 1578918561
- Provider Enumeration Date: 04/27/2016
- Last Update Date: 03/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375837255
- Enrollment ID: I20160816001653
Medical Identifiers
Medical identifiers for Lisa Tindall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578918561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209014141 (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 Tindall allows following entities to bill medicare on her behalf.
| Entity Name | Specialized Wound Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962430157
PECOS PAC ID: 4284628173
Enrollment ID: O20040505000688 |
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| Entity Name | Integritas Emergency Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760 |
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| Entity Name | Telemedico Physicians Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912368150
PECOS PAC ID: 6901103647
Enrollment ID: O20160324000859 |
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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 Tindall 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 Tindall,
4820 Lybarger Ln,
Ellis Grove, IL 62241-1843
Ph: (618) 534-7890 | Lisa Tindall,
711 Kaskaskia St,
Menard, IL 62259-1000
Ph: (618) 826-5071 |
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