Dr Philip J Lanzisera, PHD in Detroit, MI - Medicare Clinical Psychologist Provider

Dr Philip J Lanzisera, PHD is a medicare enrolled "Psychologist - Clinical" provider in Detroit, Michigan. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Henry Ford Medical Group and his current practice location is Henry Ford Health System, One Ford Place 1f -behavioral, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 876-6677.

Dr Philip J Lanzisera is licensed to practice in Michigan (license number 6301001788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093863680.

Contact Information

	Dr Philip J Lanzisera, PHD
	Henry Ford Health System, One Ford Place 1f -behavioral, Detroit, MI 48202
	(313) 876-6677
	(313) 874-6650

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Philip J Lanzisera
Gender	Male
Speciality	Clinical Psychologist
Experience	49 Years
Location	Henry Ford Health System, Detroit, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Philip J Lanzisera graduated from medical school in 1975

NPI Data:

NPI Number: 1093863680
Provider Enumeration Date: 01/08/2007
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0345373775
Enrollment ID: I20100805000026

Medical Identifiers

Medical identifiers for Dr Philip J Lanzisera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093863680	NPI	-	NPPES
PHD888810	Medicaid	MI
PL001788	Other		COMMERCIAL-COMMERCIAL NUMBER
PL001788	Other		CHAMPUS-CHAMPUS
700H262290	Other		BLUE CROSS-BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301001788 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301001788 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital
Henry Ford West Bloomfield Hospital	West bloomfield, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Dr Philip J Lanzisera allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517

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. Dr Philip J Lanzisera 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
Dr Philip J Lanzisera, PHD Henry Ford Health System, One Ford Place 1f -behavioral, Detroit, MI 48202 Ph: (313) 876-6677	Dr Philip J Lanzisera, PHD Henry Ford Health System, One Ford Place 1f -behavioral, Detroit, MI 48202 Ph: (313) 876-6677

Reviews and Comments

Psychologist in Detroit, MI

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Dr Philip J Lanzisera, PHD - Medicare Psychologist in Detroit, MI