Lisa Michele Cordova, FNP-C in Lubbock, TX - Medicare Nurse Practitioner

Lisa Michele Cordova, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Long And Harris Dermatology Pllc and her current practice location is 6102 82nd St Ste 15, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 749-7933.

Lisa Michele Cordova is licensed to practice in Texas (license number AP129218) 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 1225408271.

Contact Information

	Lisa Michele Cordova, FNP-C
	6102 82nd St Ste 15, Lubbock, TX 79424-0840
	(806) 749-7933
	(806) 749-6117

Map and Direction

Provider's Profile

Full Name	Lisa Michele Cordova
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	6102 82nd St Ste 15, Lubbock, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Michele Cordova graduated from nursing school in 2015

NPI Data:

NPI Number: 1225408271
Provider Enumeration Date: 10/03/2015
Last Update Date: 05/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9234439589
Enrollment ID: I20151118002444

Medical Identifiers

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

Identifier	Type	State	Issuer
1225408271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP129218 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Long And Harris Dermatology Pllc	9436424660	2

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 Cordova allows following entities to bill medicare on her behalf.

Entity Name	Texas Tech University Health Sciences Center Lubbock
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468

Entity Name	Long & Harris Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962928440 PECOS PAC ID: 9436424660 Enrollment ID: O20171013001271

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 Cordova 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 Cordova, FNP-C 6102 82nd St Ste 15, Lubbock, TX 79424-0840 Ph: (806) 749-7933	Lisa Michele Cordova, FNP-C 6102 82nd St Ste 15, Lubbock, TX 79424-0840 Ph: (806) 749-7933

Reviews and Comments

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Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880

Lisa Michele Cordova, FNP-C - Medicare Nurse Practitioner in Lubbock, TX