Andrew Lisitsky, in Beaverton, OR - Medicare Physical Therapist Provider

Andrew Lisitsky, is a medicare enrolled "Physical Therapist" provider in Beaverton, Oregon. His current practice location is 17885 Ne Evergreen Parkway, Ste 220, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 571-3366.

Andrew Lisitsky is licensed to practice in Oregon (license number 65461) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104887587.

Contact Information

	Andrew Lisitsky,
	17885 Ne Evergreen Parkway, Ste 220, Beaverton, OR 97006
	(503) 571-3366
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Lisitsky
Gender	Male
Speciality	Physical Therapist
Location	17885 Ne Evergreen Parkway, Beaverton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104887587
Provider Enumeration Date: 03/28/2006
Last Update Date: 12/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2668434457
Enrollment ID: I20041103000628

Medical Identifiers

Medical identifiers for Andrew Lisitsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104887587	NPI	-	NPPES
7587LI	Other	WA	REGENCE
5479LI	Other	WA	REGENCE
7588LI	Other	WA	REGENCE
0219769	Other	WA	L&I

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	65461 (Oregon)	Primary
225100000X	Physical Therapist	023017 (New York)	Secondary
225100000X	Physical Therapist	PT00008783 (Washington)	Secondary

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. Andrew Lisitsky allows following entities to bill medicare on his behalf.

Provider Name	Stride Physio Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750703567 PECOS PAC ID: 9234432014 Enrollment ID: O20160128001502

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. Andrew Lisitsky 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
Andrew Lisitsky, 603 Division St, North Tonawanda, NY 14120-4464 Ph: (716) 693-0556	Andrew Lisitsky, 17885 Ne Evergreen Parkway, Ste 220, Beaverton, OR 97006 Ph: (503) 571-3366

Reviews and Comments

Physical Therapist in Beaverton, OR

Krystyna Lee Lue, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8354 Sw Nimbus Ave, Beaverton, OR 97008 Phone: 971-219-4899
Brynne Begalke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007 Phone: 503-216-8825
Marylou Strong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4950 Fax: 503-626-5529
Amy Jo C Tanous, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13470 Sw Farmington Rd, Beaverton, OR 97005 Phone: 503-644-3311 Fax: 503-627-0112
Meruu Core Choice Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1975 Nw 167th Pl # 100-43, Beaverton, OR 97006 Phone: 971-205-2630
Tyler Baca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Sw 153rd Dr Ste 210, Beaverton, OR 97003 Phone: 971-727-8155
Linda Marie Froemming, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Sw Bowerman Dr # Bj1, Beaverton, OR 97005 Phone: 503-671-3962

Andrew Lisitsky, - Medicare Physical Therapist in Beaverton, OR