Dr Lisa M Avery, MD in Fayetteville, GA - Medicare Psychiatry & Neurology

Dr Lisa M Avery, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fayetteville, Georgia. Her current practice location is 1260 Highway 54 W, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (214) 619-1910.

Dr Lisa M Avery is licensed to practice in Georgia (license number 053486) 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 1699008409.

Contact Information

	Dr Lisa M Avery, MD
	1260 Highway 54 W, Fayetteville, GA 30214-4514
	(214) 619-1910
	(214) 619-1914

Map and Direction

Physician's Profile

Full Name	Dr Lisa M Avery
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	1260 Highway 54 W, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699008409
Provider Enumeration Date: 09/11/2009
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5698996585
Enrollment ID: I20250212000424

Medical Identifiers

Medical identifiers for Dr Lisa M Avery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699008409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	ME 94226 (Florida)	Secondary
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	ME 94226 (Florida)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	053486 (Georgia)	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 M Avery allows following entities to bill medicare on her behalf.

Entity Name	Georgia Neurosciences Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649871351 PECOS PAC ID: 1052840352 Enrollment ID: O20250131001581

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 M Avery 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 M Avery, MD 1260 Highway 54 W, Fayetteville, GA 30214-4514 Ph: (214) 619-1910	Dr Lisa M Avery, MD 1260 Highway 54 W, Fayetteville, GA 30214-4514 Ph: (214) 619-1910

Reviews and Comments

Psychiatry & Neurology Doctors in Fayetteville, GA

Evan Mccarroll Johnson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500d, Fayetteville, GA 30214 Phone: 770-506-5410
Gary Bruce Lebendiger, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779
Shaw Wendi Fortuchang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 110 N Park Dr, Fayetteville, GA 30214 Phone: 770-376-6726 Fax: 770-376-6727
Dr. Olufemi Abiodun Taiwo, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 110 Braxton Ct, Fayetteville, GA 30214 Phone: 678-610-7100 Fax: 678-610-7111
Mr. Wallace Maxwell Green, PAC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W, Ste.105, Fayetteville, GA 30214 Phone: 770-719-2965 Fax: 770-719-2963
Dr. Ana Maria Cuebas, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 715 Bradley Dr, Fayetteville, GA 30214 Phone: 770-358-5252
Mr. Virendra V Ranadive, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 115 Sumner Rd Fl 2, Fayetteville, GA 30214 Phone: 770-716-1562 Fax: 770-716-0145

Dr Lisa M Avery, MD - Medicare Psychiatry & Neurology in Fayetteville, GA