Bretzyl M Liscoe, - Medicare Nurse Practitioner in Elyria, OH

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Bretzyl M Liscoe, is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Elyria, Ohio. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Hospitals Medical Group Inc, University Hospitals Ahuja Medical Center Inc and her current practice location is 630 E River St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 323-8515.

Bretzyl M Liscoe is licensed to practice in Ohio (license number APRN.CNP.0027013) 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 1003434952.

Contact Information

Bretzyl M Liscoe,
630 E River St,
Elyria, OH 44035-5902
(440) 323-8515
Not Available

Map and Direction




Provider's Profile

Full NameBretzyl M Liscoe
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location630 E River St, Elyria, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bretzyl M Liscoe graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1003434952
  • Provider Enumeration Date: 07/08/2020
  • Last Update Date: 07/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2365868684
  • Enrollment ID: I20200818001488

Medical Identifiers

Medical identifiers for Bretzyl M Liscoe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003434952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.0027013 (Ohio)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine APRN.CNP.0027013 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospitals Ahuja Medical CenterBeachwood, OHHospital
University Hospitals Of ClevelandCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Hospitals Medical Group Inc47896824931466
University Hospitals Ahuja Medical Center Inc549693553855

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. Bretzyl M Liscoe allows following entities to bill medicare on her behalf.
Entity NameCommunity Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538236872
PECOS PAC ID: 5496648123
Enrollment ID: O20040205000697
Entity NameElyria Anesthesia Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710922463
PECOS PAC ID: 7214902170
Enrollment ID: O20040901001554
Entity NameStafford Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679542021
PECOS PAC ID: 4486678901
Enrollment ID: O20060123000759
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameUniversity Hospitals Ahuja Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609189604
PECOS PAC ID: 5496935538
Enrollment ID: O20120424000026

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. Bretzyl M Liscoe 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 AddressPractice Location Address
Bretzyl M Liscoe,
17703 Hicks Rd,
Bedford, OH 44146-4332

Ph: (440) 525-0811		Bretzyl M Liscoe,
630 E River St,
Elyria, OH 44035-5902

Ph: (440) 323-8515

Reviews and Comments


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Ms. Amy M. King, NP
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Phone: 440-365-2600    Fax: 440-366-5543

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.