Dr Dorisbel Matos Lizardo, MD is a medicare enrolled "General Practice" physician in Celebration, Florida. Her current practice location is
2940 Mallory Cir Ste 202, Celebration, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 269-8550.
Dr Dorisbel Matos Lizardo is licensed to practice in Florida (license number ACN1517) 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 1215680459.
Physician's Profile
Full Name | Dr Dorisbel Matos Lizardo |
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Gender | Female |
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Speciality | General Practice |
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Location | 2940 Mallory Cir Ste 202, Celebration, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215680459
- Provider Enumeration Date: 01/28/2022
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224486261
- Enrollment ID: I20231130002933
Medical Identifiers
Medical identifiers for Dr Dorisbel Matos Lizardo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215680459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | ACN1517 (Florida) | Primary |
208D00000X | General Practice | 023132 (Puerto Rico) | Secondary |
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 Dorisbel Matos Lizardo allows following entities to bill medicare on her behalf.
Entity Name | Keiler Heberto Moreno Rivero, P.a |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861974073 PECOS PAC ID: 6002153145 Enrollment ID: O20190128000753 |
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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. Dr Dorisbel Matos Lizardo 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 Dorisbel Matos Lizardo, MD 2940 Mallory Cir Ste 202, Celebration, FL 34747-1818 Ph: (407) 269-8550 | Dr Dorisbel Matos Lizardo, MD 2940 Mallory Cir Ste 202, Celebration, FL 34747-1818 Ph: (407) 269-8550 |
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