Lisa Michele Mctavish, MD in Lafayette, IN

Lisa Michele Mctavish, MD is a medicare enrolled "Family Medicine" physician in Lafayette, Indiana. Her current practice location is 1500 Salem St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 448-8000.

Lisa Michele Mctavish is licensed to practice in Indiana (license number 01044255A) 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 1982673687.

Contact Information

	Lisa Michele Mctavish, MD
	1500 Salem St, Lafayette, IN 47904-2164
	(765) 448-8000
	(765) 379-3312

Map and Direction

Physician's Profile

Full Name	Lisa Michele Mctavish
Gender	Female
Speciality	Family Medicine
Location	1500 Salem St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982673687
Provider Enumeration Date: 03/15/2006
Last Update Date: 01/27/2021

Medicare PECOS Information:

PECOS PAC ID: 5991754954
Enrollment ID: I20050117000264

Medical Identifiers

Medical identifiers for Lisa Michele Mctavish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982673687	NPI	-	NPPES
000000990880	Other	IN	ANTHEM PROVIDER NUMBER - DERMATOLOGY
10825581	Other	IN	CAQH NUMBER
000000877221	Other	IN	ANTHEM PROVIDER NUMBER - URGENT CARE
000000197894	Other	IN	ANTHEM PROVIDER NUMBER - FAMILY MEDICINE
200083620	Medicaid	IN
9007117	Other	IN	PHCS PID NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01044255A (Indiana)	Secondary
207N00000X	Dermatology	01044255A (Indiana)	Secondary
207Q00000X	Family Medicine	01044255A (Indiana)	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. Lisa Michele Mctavish allows following entities to bill medicare on her behalf.

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

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 Michele Mctavish 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 Michele Mctavish, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621	Lisa Michele Mctavish, MD 1500 Salem St, Lafayette, IN 47904-2164 Ph: (765) 448-8000

Reviews and Comments

Family Medicine Doctors in Lafayette, IN

Ian Reed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 South St, Lafayette, IN 47904 Phone: 765-807-2320 Fax: 765-807-2330
Martin Scheidt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Walter Scholer Dr, Lafayette, IN 47909 Phone: 765-448-8000 Fax: 765-448-8257
Alison Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3750 Landmark Dr Ste A, Lafayette, IN 47905 Phone: 765-448-4511 Fax: 765-447-7312
Jeffrey C Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7613
Dr. Jhon M Nogales Pimienta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-838-7101
Navid Ahsani, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 St Francis Way Ste 209, Lafayette, IN 47905 Phone: 765-775-2830
John P Cusack, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3554 Promenade Pkwy, Suite F, Lafayette, IN 47909 Phone: 765-477-2200 Fax: 765-477-0277

Lisa Michele Mctavish, MD - Medicare Family Medicine in Lafayette, IN