Mark S Lisch, DPM in Fort Worth, TX - Medicare Podiatrist Provider

Mark S Lisch, DPM is a medicare enrolled "Podiatrist" provider in Fort Worth, Texas. His current practice location is 6816 Shadow Creek Ct, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 368-6841.

Mark S Lisch is licensed to practice in Texas (license number 0787) 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 1124094958.

Contact Information

	Mark S Lisch, DPM
	6816 Shadow Creek Ct, Fort Worth, TX 76132-4522
	(832) 368-6841
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark S Lisch
Gender	Male
Speciality	Podiatrist
Location	6816 Shadow Creek Ct, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124094958
Provider Enumeration Date: 02/23/2006
Last Update Date: 10/04/2021

Medicare PECOS Information:

PECOS PAC ID: 4587609714
Enrollment ID: I20081105000290

Medical Identifiers

Medical identifiers for Mark S Lisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124094958	NPI	-	NPPES
085279001	Medicaid	TX
82Y991	Other	TX	BCBS
092841802	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	0787 (Texas)	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. Mark S Lisch allows following entities to bill medicare on his behalf.

Provider Name	Diagnostic Foot Specialists Of Victoria Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104263318 PECOS PAC ID: 3577705433 Enrollment ID: O20130806000739

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. Mark S Lisch 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
Mark S Lisch, DPM Po Box 16918, Fort Worth, TX 76162-0918 Ph: (323) 686-8418	Mark S Lisch, DPM 6816 Shadow Creek Ct, Fort Worth, TX 76132-4522 Ph: (832) 368-6841

Reviews and Comments

Podiatrist in Fort Worth, TX

Travis A Motley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 5th Ave Ste 400, Fort Worth, TX 76104 Phone: 817-702-9100 Fax: 817-882-9242
Kenneth Lynn James, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1712 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-877-5781 Fax: 817-877-5782
Dr. Moody Mankerious, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8751 Camp Bowie West Blvd Ste 123, Fort Worth, TX 76116 Phone: 817-494-0566 Fax: 949-404-6277
Kevin D. Rhodes, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 750 North Fwy, Fort Worth, TX 76102 Phone: 817-391-0130 Fax: 817-391-0136
Brian B Carpenter, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2900
Dr. Rona Wai Yin Law, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 923 College Ave Ste 101, Fort Worth, TX 76104 Phone: 817-697-4038 Fax: 877-409-3962

Mark S Lisch, DPM - Medicare Podiatrist in Fort Worth, TX