Lisa Marie Maffucci, PT in Hawthorne, CA - Medicare Physical Therapist Provider

Lisa Marie Maffucci, PT is a medicare enrolled "Physical Therapist" provider in Hawthorne, California. Her current practice location is 5254 W 137th St, Hawthorne, California. You can reach out to her office (for appointments etc.) via phone at (310) 643-5055.

Lisa Marie Maffucci is licensed to practice in California (license number 22439) 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 1114245628.

Contact Information

	Lisa Marie Maffucci, PT
	5254 W 137th St, Hawthorne, CA 90250-6420
	(310) 643-5055
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Marie Maffucci
Gender	Female
Speciality	Physical Therapist
Location	5254 W 137th St, Hawthorne, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114245628
Provider Enumeration Date: 05/07/2010
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4789635574
Enrollment ID: I20050209000596

Medical Identifiers

Medical identifiers for Lisa Marie Maffucci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114245628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	22439 (California)	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. Lisa Marie Maffucci allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Lisa Marie Maffucci 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
Lisa Marie Maffucci, PT 5254 W 137th St, Hawthorne, CA 90250-6420 Ph: (310) 643-5055	Lisa Marie Maffucci, PT 5254 W 137th St, Hawthorne, CA 90250-6420 Ph: (310) 643-5055

Reviews and Comments

Physical Therapist in Hawthorne, CA

Caitlin Rose Parr, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-269-3400 Fax: 310-822-5451
Mr. Joseph M Nespoli, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13405 Inglewood Ave, Suite 6, Hawthorne, CA 90250 Phone: 310-263-7140 Fax: 310-273-7232
Mr. Brandt Clark, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14650 Aviation Blvd, #100, Hawthorne, CA 90250 Phone: 310-725-9018 Fax: 310-325-3041
Kayee Xiong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 310-269-3400 Fax: 310-882-5451
Jennifer Andre, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-226-9340 Fax: 310-882-5451
Philip Cordova, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11633 Hawthorne Blvd, Suite 201, Hawthorne, CA 90250 Phone: 310-263-1632 Fax: 310-263-1652
Yumi Sugiyama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-269-3400 Fax: 310-882-5451

Lisa Marie Maffucci, PT - Medicare Physical Therapist in Hawthorne, CA