Mrs Lisa Michelle Kennedy, NP is a medicare enrolled "Nurse Practitioner - Family" in Woodsboro, Texas. Her current practice location is
108 Wranosky Rd, Woodsboro, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 543-7018.
Mrs Lisa Michelle Kennedy is licensed to practice in Texas (license number 1025400) 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 1114500279.
Provider's Profile
| Full Name | Mrs Lisa Michelle Kennedy |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 108 Wranosky Rd, Woodsboro, Texas |
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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: 1114500279
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608260914
- Enrollment ID: I20220303000016
Medical Identifiers
Medical identifiers for Mrs Lisa Michelle Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114500279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1025400 (Texas) | 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 Michelle Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | William G Curtis, Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316160849
PECOS PAC ID: 8426085424
Enrollment ID: O20050721000301 |
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| Entity Name | Attigo Infusion Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891339644
PECOS PAC ID: 5597190645
Enrollment ID: O20200117000376 |
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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. Mrs Lisa Michelle Kennedy 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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Mrs Lisa Michelle Kennedy, NP
Po Box 1151,
Woodsboro, TX 78393-1151
Ph: (361) 543-7018 | Mrs Lisa Michelle Kennedy, NP
108 Wranosky Rd,
Woodsboro, TX 78393
Ph: (361) 543-7018 |
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