Dr Lisa R Irvin, MD - Medicare Pediatrics in St Louis Park, MN

Dr Lisa R Irvin, MD is a medicare enrolled "Pediatrics" physician in St Louis Park, Minnesota. Her current practice location is 3910 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 562-8787.

Dr Lisa R Irvin is licensed to practice in Minnesota (license number 41186) 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 1124095575.

Contact Information

Dr Lisa R Irvin, MD
3910 Excelsior Blvd,
St Louis Park, MN 55416-4709
(952) 562-8787
(952) 562-8788

Map and Direction




Physician's Profile

Full NameDr Lisa R Irvin
GenderFemale
SpecialityPediatrics
Location3910 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124095575
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 09/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729034087
  • Enrollment ID: I20131217001194

Medical Identifiers

Medical identifiers for Dr Lisa R Irvin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124095575NPI-NPPES
294718800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 41186 (Minnesota)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 R Irvin allows following entities to bill medicare on her behalf.
Entity NameChildren's Clinic Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447529235
PECOS PAC ID: 5890949192
Enrollment ID: O20130214000538

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 R Irvin 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 AddressPractice Location Address
Dr Lisa R Irvin, MD
3910 Excelsior Blvd,
St Louis Park, MN 55416-4709

Ph: (952) 562-8787
Dr Lisa R Irvin, MD
3910 Excelsior Blvd,
St Louis Park, MN 55416-4709

Ph: (952) 562-8787

Reviews and Comments


Pediatrics Doctors in St Louis Park, MN

Patrick Mueller,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3298    
Karna Lundquist,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3298    
Dr. Robert S Karasov, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3123    
Sara Mcglynn,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-7346    
Dr. Michael D Hobbs, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4832 W 27th St, St Louis Park, MN 55416
Phone: 952-217-6309    
Mark A Nammacher, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, 131, St Louis Park, MN 55426
Phone: 952-401-8290    Fax: 952-401-8243
Dr. Michael B Ainslie, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3090    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.