Ms Lisa Lavonne Kearns, MSN APRN BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Jackson, Ohio. Her current practice location is
500 Burlington Rd Ste 240, Jackson, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 286-5075.
Ms Lisa Lavonne Kearns is licensed to practice in Ohio (license number COA.07488-NS) 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 1720054844.
Provider's Profile
| Full Name | Ms Lisa Lavonne Kearns |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 500 Burlington Rd Ste 240, Jackson, Ohio |
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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: 1720054844
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 11/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416943477
- Enrollment ID: I20040423000891
Medical Identifiers
Medical identifiers for Ms Lisa Lavonne Kearns such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720054844 | NPI | - | NPPES |
| 0005355002 | Medicaid | WV | |
| 0200820 | Medicaid | OH | |
| 2476913 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 55208 (West Virginia) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | COA.07488-NS (Ohio) | 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. Ms Lisa Lavonne Kearns allows following entities to bill medicare on her behalf.
| Entity Name | Hopewell Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699010348
PECOS PAC ID: 9234049990
Enrollment ID: O20110209000712 |
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| Entity Name | Integrity Psychiatric Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588288328
PECOS PAC ID: 1759707680
Enrollment ID: O20200821001879 |
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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. Ms Lisa Lavonne Kearns 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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Ms Lisa Lavonne Kearns, MSN APRN BC
Po Box 188,
Chillicothe, OH 45601-0188
Ph: (740) 773-4366 | Ms Lisa Lavonne Kearns, MSN APRN BC
500 Burlington Rd Ste 240,
Jackson, OH 45640-9360
Ph: (740) 286-5075 |
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