Mrs Lisa Diane Fair, PMHNP-BC in Cordova, TN - Medicare Nurse Practitioner

Mrs Lisa Diane Fair, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cordova, Tennessee. Her current practice location is 8130 Country Village Dr, Cordova, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 566-1002.

Mrs Lisa Diane Fair is licensed to practice in Tennessee (license number 32712) 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 1457077315.

Contact Information

	Mrs Lisa Diane Fair, PMHNP-BC
	8130 Country Village Dr, Cordova, TN 38016-2087
	(901) 566-1002
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Diane Fair
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8130 Country Village Dr, Cordova, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457077315
Provider Enumeration Date: 10/12/2022
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 5597133306
Enrollment ID: I20221129002863

Medical Identifiers

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

Identifier	Type	State	Issuer
1457077315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	32712 (Tennessee)	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 Diane Fair allows following entities to bill medicare on her behalf.

Entity Name	Healthquest Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548229131 PECOS PAC ID: 6406742303 Enrollment ID: O20040823000088

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 Diane Fair 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 Diane Fair, PMHNP-BC 3092 Chambers Chapel Rd., Arlington, TN 38002 Ph: (901) 870-7681	Mrs Lisa Diane Fair, PMHNP-BC 8130 Country Village Dr, Cordova, TN 38016-2087 Ph: (901) 566-1002

Reviews and Comments

Nurse Practitioner Nurses in Cordova, TN

Chandler Roberts Cummins, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57 Germantown Ct Ste 100, Cordova, TN 38018 Phone: 901-763-0200
Paula M Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1590 Bonnie Ln Ste 101, Cordova, TN 38016 Phone: 901-257-9060
Renee Wilson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 Centerview Pkwy, Cordova, TN 38018 Phone: 888-852-1988
Ellen Lehman Mumaw, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1660 Bonnie Ln, Suite 105, Cordova, TN 38016 Phone: 901-888-1000
Mr. Corey Konemann, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 765 Woodland Trace Ln, Cordova, TN 38018 Phone: 888-851-2538
Dr. Camillia Haddix, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Germantown Ct Ste 402, Cordova, TN 38018 Phone: 901-752-4900 Fax: 901-752-4902
Sheneara Guide-wade, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 676 N Germantown Pkwy, Cordova, TN 38018 Phone: 901-969-1405

Mrs Lisa Diane Fair, PMHNP-BC - Medicare Nurse Practitioner in Cordova, TN