Lisa S Splittstoesser, MD is a medicare enrolled "Internal Medicine" physician in Boothbay Harbor, Maine. She went to University Of Hawaii John A. Burns School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Kauai Medical Clinic and her current practice location is
19 Saint Andrews Ln, Boothbay Harbor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 633-7820.
Lisa S Splittstoesser is licensed to practice in Hawaii (license number MD27782) 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 1124021944.
Physician's Profile
| Full Name | Lisa S Splittstoesser |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 25 Years |
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| Location | 19 Saint Andrews Ln, Boothbay Harbor, Maine |
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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. |
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Medical Education and Training:
- Lisa S Splittstoesser attended and graduated from University Of Hawaii John A. Burns School Of Medicine in 1999
NPI Data:
- NPI Number: 1124021944
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527964287
- Enrollment ID: I20070911000851
Medical Identifiers
Medical identifiers for Lisa S Splittstoesser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124021944 | NPI | - | NPPES |
| 11865 | Other | HI | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD27782 (Maine) | Secondary |
| 207R00000X | Internal Medicine | MD27782 (Hawaii) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kauai Medical Clinic | 5092628479 | 115 |
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 S Splittstoesser allows following entities to bill medicare on her behalf.
| Entity Name | Kauai Medical Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540 |
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| Entity Name | Lisa S Splittstoesser Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487067773
PECOS PAC ID: 3577780402
Enrollment ID: O20140815002030 |
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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 S Splittstoesser 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 |
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Lisa S Splittstoesser, MD
2560 Apapane St,
Lihue, HI 96766-9611
Ph: (808) 634-7006 | Lisa S Splittstoesser, MD
19 Saint Andrews Ln,
Boothbay Harbor, ME 04538-1732
Ph: (207) 633-7820 |
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