Mrs Lisa Byrd, CFNP is a medicare enrolled "Nurse Practitioner" physician in Pembroke Pines, Florida. Her current practice location is
880 Sw 145th Ave Ste 202, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at
(866) 849-0692.
Mrs Lisa Byrd is licensed to practice in Florida (license number APRN9467482) 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 1407845829.
Physician's Profile
| Full Name | Mrs Lisa Byrd |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 880 Sw 145th Ave Ste 202, Pembroke Pines, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407845829
- Provider Enumeration Date: 10/18/2005
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042398133
- Enrollment ID: I20180228000533
Medical Identifiers
Medical identifiers for Mrs Lisa Byrd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407845829 | NPI | - | NPPES |
| 00117435 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | AP11697 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 209.024394 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 1059111 (Texas) | Secondary |
| 207Q00000X | Family Medicine | M0137542 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 0030800 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | AP60485691 (Washington) | Secondary |
| 207Q00000X | Family Medicine | 201508268NPPP (Oregon) | Secondary |
| 207Q00000X | Family Medicine | AP06038 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9467482 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3-001421 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 34910 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN-4525 (Hawaii) | Secondary |
| 363L00000X | Nurse Practitioner | APRN9467482 (Florida) | 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. Mrs Lisa Byrd allows following entities to bill medicare on her behalf.
| Entity Name | Devoted Medical Group Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245838168
PECOS PAC ID: 3072902816
Enrollment ID: O20220815001105 |
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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. Mrs Lisa Byrd 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 |
|---|
Mrs Lisa Byrd, CFNP
Po Box 211699,
Eagan, MN 55121-3699
Ph: (866) 849-0692 | Mrs Lisa Byrd, CFNP
880 Sw 145th Ave Ste 202,
Pembroke Pines, FL 33027-6171
Ph: (866) 849-0692 |
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