Dr Zewdu Lissanu, MD in Campbellsville, KY - Medicare Internal Medicine

Dr Zewdu Lissanu, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Campbellsville, Kentucky. His current practice location is 125 Greenbriar Dr, Campbellsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 789-0247.

Dr Zewdu Lissanu is licensed to practice in Kentucky (license number 36828) 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 1770556235.

Contact Information

	Dr Zewdu Lissanu, MD
	125 Greenbriar Dr, Campbellsville, KY 42718-9616
	(270) 789-0247
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Zewdu Lissanu
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	125 Greenbriar Dr, Campbellsville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770556235
Provider Enumeration Date: 02/07/2006
Last Update Date: 12/11/2013

Medicare PECOS Information:

PECOS PAC ID: 9931178357
Enrollment ID: I20041001000069

Medical Identifiers

Medical identifiers for Dr Zewdu Lissanu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770556235	NPI	-	NPPES
64032188	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	36828 (Kentucky)	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 Zewdu Lissanu allows following entities to bill medicare on his behalf.

Entity Name	Taylor Regional Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527

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 Zewdu Lissanu 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 Zewdu Lissanu, MD 1698 Old Lebanon Rd, Campbellsville, KY 42718-9662 Ph: (270) 789-0247	Dr Zewdu Lissanu, MD 125 Greenbriar Dr, Campbellsville, KY 42718-9616 Ph: (270) 789-0247

Reviews and Comments

Internal Medicine Doctors in Campbellsville, KY

Dr. Stephen S Hinton, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352
William D. Feltner, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1866 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-3588 Fax: 270-465-2635
Dr. Thomas L Rogers, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 67 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352
Dr. David A Montgomery, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352
Dr. Tanya M Hayes, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-6082 Fax: 270-789-6080
Dr. Joel Dean Eade, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352
Dr. James Brandon Frank, D.O Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-6082 Fax: 270-789-6080

Dr Zewdu Lissanu, MD - Medicare Internal Medicine in Campbellsville, KY