Lisa Marie Belderes, PT is a medicare enrolled "Physical Therapist" provider in Boones Mill, Virginia. Her current practice location is
672 Naff Rd, Boones Mill, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 985-9813.
Lisa Marie Belderes is licensed to practice in Virginia (license number 2305204677) 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 1629058532.
Healthcare Provider's Profile
| Full Name | Lisa Marie Belderes |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 672 Naff Rd, Boones Mill, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1629058532
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941627855
- Enrollment ID: I20200824002020
Medical Identifiers
Medical identifiers for Lisa Marie Belderes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629058532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | 9875 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 2305204677 (Virginia) | 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 Belderes allows following entities to bill medicare on her behalf.
| Provider Name | Carilion Healthcare Corporation |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1447206370
PECOS PAC ID: 5890607253
Enrollment ID: O20031106000273 |
|---|
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 Belderes 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 Belderes, PT
213 S Jefferson St Ste 625,
Roanoke, VA 24011-1713
Ph: (540) 224-5516 | Lisa Marie Belderes, PT
672 Naff Rd,
Boones Mill, VA 24065-1992
Ph: (540) 985-9813 |
Reviews and Comments