Dr Thomas L Lissman, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Alexandria, Minnesota. His current practice location is
1610 8th Ave E, Alexandria, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 335-6213.
Dr Thomas L Lissman is licensed to practice in Minnesota (license number 74274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346277191.
Physician's Profile
| Full Name | Dr Thomas L Lissman |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1610 8th Ave E, Alexandria, Minnesota |
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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: 1346277191
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 11/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355315573
- Enrollment ID: I20240918002619
Medical Identifiers
Medical identifiers for Dr Thomas L Lissman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346277191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 74274 (Minnesota) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD22054 (Oregon) | Secondary |
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 Thomas L Lissman allows following entities to bill medicare on his behalf.
| Entity Name | Community Behavioral Health Hospital-alexandria |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1386676799
PECOS PAC ID: 3274540281
Enrollment ID: O20241126000752 |
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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 Thomas L Lissman 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 Thomas L Lissman, MD
1610 8th Ave E,
Alexandria, MN 56308-2472
Ph: (320) 335-6201 | Dr Thomas L Lissman, MD
1610 8th Ave E,
Alexandria, MN 56308-2472
Ph: (320) 335-6213 |
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