Lisa R Hardesty, PHD is a medicare enrolled "Psychologist - Clinical" provider in North Mankato, Minnesota. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mayo Clinic Health System-southwest Minnesota Region and her current practice location is
1695 Lor Ray Dr, North Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 387-8231.
Lisa R Hardesty is licensed to practice in Minnesota (license number LP3904) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154305126.
Healthcare Provider's Profile
Full Name | Lisa R Hardesty |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 28 Years |
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Location | 1695 Lor Ray Dr, North Mankato, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa R Hardesty graduated from medical school in 1996
NPI Data:
- NPI Number: 1154305126
- Provider Enumeration Date: 12/02/2005
- Last Update Date: 09/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901807601
- Enrollment ID: I20070124000017
Medical Identifiers
Medical identifiers for Lisa R Hardesty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154305126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | 3904 (Minnesota) | Secondary |
103TC0700X | Psychologist - Clinical | LP3904 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 528 |
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 R Hardesty allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
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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. Lisa R Hardesty 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 R Hardesty, PHD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 | Lisa R Hardesty, PHD 1695 Lor Ray Dr, North Mankato, MN 56003-2804 Ph: (507) 387-8231 |
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