Dr Lisa Deette Staber, MD in Grand Rapids, MN

Dr Lisa Deette Staber, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Minnesota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Avera Tyler and her current practice location is 20635 Mishawaka Shores Trl, Grand Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 398-0256.

Dr Lisa Deette Staber is licensed to practice in Minnesota (license number 38922) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629035308.

Contact Information

	Dr Lisa Deette Staber, MD
	20635 Mishawaka Shores Trl, Grand Rapids, MN 55744-6071
	(218) 398-0256
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lisa Deette Staber
Gender	Female
Speciality	Family Practice
Experience	38 Years
Location	20635 Mishawaka Shores Trl, Grand Rapids, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lisa Deette Staber attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1987

NPI Data:

NPI Number: 1629035308
Provider Enumeration Date: 04/27/2006
Last Update Date: 05/09/2017

Medicare PECOS Information:

PECOS PAC ID: 8123915444
Enrollment ID: I20040302000526

Medical Identifiers

Medical identifiers for Dr Lisa Deette Staber such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629035308	NPI	-	NPPES
4848740	Medicaid	MI
P00328166	Other		RR-MEDICARE
P00328166	Other	MI	RR-MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301086765 (Michigan)	Secondary
207Q00000X	Family Medicine	38751-020 (Wisconsin)	Secondary
207Q00000X	Family Medicine	38922 (Minnesota)	Primary
207Q00000X	Family Medicine	38751-20 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Avera Granite Falls	Granite falls, MN	Hospital
Avera Tyler Hospital	Tyler, MN	Hospital
Avera Sunrise Manor	Tyler, MN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Tyler	9638088537	12

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 Deette Staber 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 Deette Staber, MD 20635 Mishawaka Shores Trl, Grand Rapids, MN 55744-6071 Ph: (218) 398-0256	Dr Lisa Deette Staber, MD 20635 Mishawaka Shores Trl, Grand Rapids, MN 55744-6071 Ph: (218) 398-0256

Reviews and Comments

Family Medicine Doctors in Grand Rapids, MN

Dr. Patricia C. Carlin-janssen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Anne Eileen Tofte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Dr. Edwin A. Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Dr. Timothy J. Pehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Dr. Michael B. Liebe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Arie Degrio, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-999-1442 Fax: 218-999-1461
Richard J Helvig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000

Dr Lisa Deette Staber, MD - Medicare Family Practice in Grand Rapids, MN