Dr Lisa Kurian, MD is a medicare enrolled "General Practice" physician in Old Greenwich, Connecticut. Her current practice location is
1700 E Putnam Ave Ste 407, Old Greenwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 524-9698.
Dr Lisa Kurian is licensed to practice in Connecticut (license number 47809) 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 1003876228.
Physician's Profile
| Full Name | Dr Lisa Kurian |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 1700 E Putnam Ave Ste 407, Old Greenwich, Connecticut |
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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: 1003876228
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022056431
- Enrollment ID: I20050418000488
Medical Identifiers
Medical identifiers for Dr Lisa Kurian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003876228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 232576 (New York) | Secondary |
| 207R00000X | Internal Medicine | 047809 (Connecticut) | Secondary |
| 208D00000X | General Practice | 47809 (Connecticut) | 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 Kurian allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Medical Group, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942526207
PECOS PAC ID: 6204095201
Enrollment ID: O20120313000116 |
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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. Dr Lisa Kurian 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 |
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Dr Lisa Kurian, MD
1700 E Putnam Ave Ste 407,
Old Greenwich, CT 06870-1380
Ph: (203) 524-9698 | Dr Lisa Kurian, MD
1700 E Putnam Ave Ste 407,
Old Greenwich, CT 06870-1380
Ph: (203) 524-9698 |
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