Dr Lisa Camille Gold, MD in Crown Point, IN

Dr Lisa Camille Gold, MD is a medicare enrolled "Pediatrics" physician in Crown Point, Indiana. Her current practice location is 1141 S Indiana Ave, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 662-0700.

Dr Lisa Camille Gold is licensed to practice in Indiana (license number 01044839) 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 1023015302.

Contact Information

	Dr Lisa Camille Gold, MD
	1141 S Indiana Ave, Crown Point, IN 46307-7205
	(219) 662-0700
	(219) 662-0973

Map and Direction

Physician's Profile

Full Name	Dr Lisa Camille Gold
Gender	Female
Speciality	Pediatrics
Location	1141 S Indiana Ave, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023015302
Provider Enumeration Date: 07/01/2005
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6002941481
Enrollment ID: I20100324000595

Medical Identifiers

Medical identifiers for Dr Lisa Camille Gold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023015302	NPI	-	NPPES
200084250	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01044839 (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. Dr Lisa Camille Gold allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Dr Lisa Camille Gold 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
Dr Lisa Camille Gold, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Dr Lisa Camille Gold, MD 1141 S Indiana Ave, Crown Point, IN 46307-7205 Ph: (219) 662-0700

Reviews and Comments

Pediatrics Doctors in Crown Point, IN

Destiny Harrell-washington, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770
Wambui Waruingi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-681-6871
Dr. Melanie Carol Harris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11161 Randolph St, Crown Point, IN 46307 Phone: 219-662-9424 Fax: 219-662-7465
Anisha Ashwin Amin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307 Phone: 219-662-0700 Fax: 219-662-0973
Darlene Sekerez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770
Silvia Beatriz Vicente, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307 Phone: 219-662-0700 Fax: 219-662-0973

Dr Lisa Camille Gold, MD - Medicare Pediatrics in Crown Point, IN