Mrs Lisa Bordeaux, CNP in Minneapolis, MN - Medicare Nurse Practitioner

Mrs Lisa Bordeaux, CNP is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. Her current practice location is 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 427-9980.

Mrs Lisa Bordeaux is licensed to practice in Minnesota (license number 3228) 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 1376586792.

Contact Information

	Mrs Lisa Bordeaux, CNP
	4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522
	(763) 427-9980
	(763) 427-9908

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Bordeaux
Gender	Female
Speciality	Nurse Practitioner
Location	4040 Coon Rapids Blvd Nw, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376586792
Provider Enumeration Date: 06/14/2006
Last Update Date: 06/17/2019

Medicare PECOS Information:

PECOS PAC ID: 9234185240
Enrollment ID: I20050323000504

Medical Identifiers

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

Identifier	Type	State	Issuer
1376586792	NPI	-	NPPES
771170100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R1222515 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	3228 (Minnesota)	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 Bordeaux allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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 Bordeaux 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 Bordeaux, CNP 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 Ph: (763) 427-9980	Mrs Lisa Bordeaux, CNP 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 Ph: (763) 427-9980

Reviews and Comments

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Mrs Lisa Bordeaux, CNP - Medicare Nurse Practitioner in Minneapolis, MN