Ms Lisa Carroll Radebaugh, NP in Lutherville, MD

Ms Lisa Carroll Radebaugh, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lutherville, Maryland. She graduated from nursing school in 1990 and has 34 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Maryland Family Care Inc, St Paul Place Specialists, Inc. and her current practice location is 10753 Falls Rd Pavilion Ii, Suite 415, Lutherville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 583-2970.

Ms Lisa Carroll Radebaugh is licensed to practice in Maryland (license number R080294) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588688345.

Contact Information

	Ms Lisa Carroll Radebaugh, NP
	10753 Falls Rd Pavilion Ii, Suite 415, Lutherville, MD 21093-2967
	(410) 583-2970
	(410) 583-2980

Map and Direction

Provider's Profile

Full Name	Ms Lisa Carroll Radebaugh
Gender	Female
Speciality	Nurse Practitioner
Experience	34 Years
Location	10753 Falls Rd Pavilion Ii, Lutherville, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Lisa Carroll Radebaugh graduated from nursing school in 1990

NPI Data:

NPI Number: 1588688345
Provider Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8628066420
Enrollment ID: I20100504000433

Medical Identifiers

Medical identifiers for Ms Lisa Carroll Radebaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588688345	NPI	-	NPPES
53410801	Other	MD	BLUE SHIELD
972003100	Medicaid	MD
242566	Other	MD	KAISER
0092	Other	MD	CAREFIRST REGIONAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R080294 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center Inc	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maryland Family Care Inc	5092629394	127
St Paul Place Specialists, Inc.	7719882943	271

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. Ms Lisa Carroll Radebaugh allows following entities to bill medicare on her behalf.

Entity Name	Maryland Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273

Entity Name	St Paul Place Specialists, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084

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. Ms Lisa Carroll Radebaugh 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
Ms Lisa Carroll Radebaugh, NP 40 Tudor Ct, Lutherville, MD 21093-2967 Ph: (410) 308-4822	Ms Lisa Carroll Radebaugh, NP 10753 Falls Rd Pavilion Ii, Suite 415, Lutherville, MD 21093-2967 Ph: (410) 583-2970

Reviews and Comments

Nurse Practitioner Nurses in Lutherville, MD

Mrs. Joanne Elizabeth Desmond, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Suite 260, Lutherville, MD 21093 Phone: 410-583-2955
Ms. Nelli Zafman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10753 Falls Rd, Suite 145, Lutherville, MD 21093 Phone: 410-583-2970
Dr. Michael Nwandu, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 York Rd Ste 601, Lutherville, MD 21093 Phone: 443-442-4818 Fax: 410-650-9053
Mrs. Marye Kellermann, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Blondell Ct, Lutherville, MD 21093 Phone: 410-494-0398 Fax: 410-494-1445
Rebecca Millison, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Westspring Way, Lutherville, MD 21093 Phone: 443-465-6937
Kayla Mardaga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 York Rd Ste 30d, Lutherville, MD 21093 Phone: 443-519-2128
Erica P. Cerquetti, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Pot Spring Road, Mercy Ridge Inc., Lutherville, MD 21093 Phone: 410-561-0200

Ms Lisa Carroll Radebaugh, NP - Medicare Nurse Practitioner in Lutherville, MD