David Blake Lish, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in West Plains, Missouri. His current practice location is
1100 N Kentucky Ave, West Plains, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 256-1745.
David Blake Lish is licensed to practice in Missouri (license number 2022006487) 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 1558920918.
Healthcare Provider's Profile
| Full Name | David Blake Lish |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 1100 N Kentucky Ave, West Plains, Missouri |
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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: 1558920918
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567797830
- Enrollment ID: I20221021001513
Medical Identifiers
Medical identifiers for David Blake Lish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558920918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5951001237 (Michigan) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2022006487 (Missouri) | 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. David Blake Lish allows following entities to bill medicare on his behalf.
| Provider Name | Ozarks Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035 |
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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. David Blake Lish 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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David Blake Lish, DPM
1 Genesys Pkwy,
Grand Blanc, MI 48439-8065
Ph: (810) 606-6954 | David Blake Lish, DPM
1100 N Kentucky Ave,
West Plains, MO 65775-2029
Ph: (417) 256-1745 |
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