Elizabeth M Lidstone Jayanath, MD in Garder, MA

Elizabeth M Lidstone Jayanath, MD is a medicare enrolled "Pediatrics" physician in Garder, Massachusetts. Her current practice location is 175 Connors Street, Garder, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 410-6100.

Elizabeth M Lidstone Jayanath is licensed to practice in Massachusetts (license number 156974) 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 1124000294.

Contact Information

	Elizabeth M Lidstone Jayanath, MD
	175 Connors Street, Garder, MA 01440
	(978) 410-6100
	(978) 410-6109

Map and Direction

Physician's Profile

Full Name	Elizabeth M Lidstone Jayanath
Gender	Female
Speciality	Pediatrics
Location	175 Connors Street, Garder, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124000294
Provider Enumeration Date: 11/15/2005
Last Update Date: 11/16/2015

Medicare PECOS Information:

PECOS PAC ID: 8820133341
Enrollment ID: I20100308000630

Medical Identifiers

Medical identifiers for Elizabeth M Lidstone Jayanath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124000294	NPI	-	NPPES
J19766	Other		BLUE SHIELD HMO BLUE
J19766	Other		BLUE CARE ELECT
J19766	Other		BLUE SHIELD INDEMNITY
1836498	Other		FIRST HEALTH
7521481	Other		CIGNA HEALTH PLAN
3188787	Other		MEDICAID/WELFARE
3188787	Medicaid	MA
33367	Other		CHILDRENS MED SECURITY PL
33367	Other		HEALTHY START
42389	Other		FALLON COMMUNITY HLTH PL
AA1277	Other		HARVARD PILGRIM HEALTHCAR
042472266	Other		PRIVATE HEALTHCARE SYSTEM
3188787	Other		MEDICAID PCC
A29170	Other		MEDICARE B
042472266	Other		ONE HEALTH PLAN
7575320	Other		AETNA/US HEALTHCARE
784154	Other		MVP HEALTH CARE
042472266	Other		HEALTHCARE VALUE MNGMENT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	156974 (Massachusetts)	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. Elizabeth M Lidstone Jayanath allows following entities to bill medicare on her behalf.

Entity Name	Community Health Connections, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477580827 PECOS PAC ID: 8729074992 Enrollment ID: O20040422001136

Entity Name	Reliant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650

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. Elizabeth M Lidstone Jayanath 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
Elizabeth M Lidstone Jayanath, MD 326 Nichols Road, Fitchburg, MA 01420-1914 Ph: (978) 878-8100	Elizabeth M Lidstone Jayanath, MD 175 Connors Street, Garder, MA 01440 Ph: (978) 410-6100

Elizabeth M Lidstone Jayanath, MD - Medicare Pediatrics in Garder, MA