Mrs Lisa Ann Boone, NP in Madison Heights, MI

Mrs Lisa Ann Boone, NP is a medicare enrolled "Nurse Practitioner - Family" in Madison Heights, Michigan. Her current practice location is 27351 Dequindre Rd, Madison Heights, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 967-7807.

Mrs Lisa Ann Boone is licensed to practice in Michigan (license number 4704191012) 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 1710259189.

Contact Information

	Mrs Lisa Ann Boone, NP
	27351 Dequindre Rd, Madison Heights, MI 48071-3487
	(248) 967-7807
	(248) 967-0767

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Ann Boone
Gender	Female
Speciality	Nurse Practitioner - Family
Location	27351 Dequindre Rd, Madison Heights, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710259189
Provider Enumeration Date: 02/01/2012
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9436319415
Enrollment ID: I20120328001010

Medical Identifiers

Medical identifiers for Mrs Lisa Ann Boone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710259189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704191012 (Michigan)	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. Mrs Lisa Ann Boone allows following entities to bill medicare on her behalf.

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578696092 PECOS PAC ID: 7315859725 Enrollment ID: O20041102000607

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Mrs Lisa Ann Boone 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
Mrs Lisa Ann Boone, NP 22142 Gregory St, Dearborn, MI 48124-2750 Ph: (313) 769-5877	Mrs Lisa Ann Boone, NP 27351 Dequindre Rd, Madison Heights, MI 48071-3487 Ph: (248) 967-7807

Reviews and Comments

Nurse Practitioner Nurses in Madison Heights, MI

Dr. Lisa Marie Wargo, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7000
Eric G. Herron, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 249-967-7000
Rachel Hetzner, RN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28180 John R Rd, Madison Heights, MI 48071 Phone: 248-336-0500
Aminur Rahman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 E Twelve Mile Rd, Madison Heights, MI 48071 Phone: 313-721-1044
Ms. Christina Marie Audia, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7000
Erin Michele Dzeroogian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 586-899-6659
Ashley Taylor Farhat-tomaszewski, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7715

Mrs Lisa Ann Boone, NP - Medicare Nurse Practitioner in Madison Heights, MI