Lisa Denise Mullally, DO - Medicare Family Practice in Crown Point, IN

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Lisa Denise Mullally, DO is a medicare enrolled "Family Medicine" physician in Crown Point, Indiana. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Indiana Sports And Medical Science Institute, Pc, Rci (wrs), Llc. and her current practice location is 11275 Delaware Pkwy, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 779-8735.

Lisa Denise Mullally is licensed to practice in Indiana (license number 02003098) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861462012.

Contact Information

Lisa Denise Mullally, DO
11275 Delaware Pkwy,
Crown Point, IN 46307-7812
(219) 779-8735
(877) 715-2312

Map and Direction




Physician's Profile

Full NameLisa Denise Mullally
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location11275 Delaware Pkwy, Crown Point, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Denise Mullally attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2002
  NPI Data:
  • NPI Number: 1861462012
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 03/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274568332
  • Enrollment ID: I20070330000401

Medical Identifiers

Medical identifiers for Lisa Denise Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861462012NPI-NPPES
200833870MedicaidIN
000000721919OtherINANTHEM TRADITIONAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02003098 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sunrise Home Health Care Services IncMerrillville, INHome health agency
Franciscan Health Crown PointCrown point, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana Sports And Medical Science Institute, Pc28606625176
Rci (wrs), Llc.5092624510312

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. Lisa Denise Mullally allows following entities to bill medicare on her behalf.
Entity NameIndiana Sports & Medical Science Institute, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609155290
PECOS PAC ID: 2860662517
Enrollment ID: O20110907001110

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. Lisa Denise Mullally 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
Lisa Denise Mullally, DO
Po Box 108,
Crown Point, IN 46308-0108

Ph: (219) 779-8735		Lisa Denise Mullally, DO
11275 Delaware Pkwy,
Crown Point, IN 46307-7812

Ph: (219) 779-8735

Reviews and Comments


Family Medicine Doctors in Crown Point, IN

Valerie Cecelia Maguire, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307
Phone: 219-663-4007    Fax: 219-663-4198
Dr. James Simantirakis, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307
Phone: 219-663-7000    Fax: 219-663-8610
Angelica M. Lacefield, MSN, APRN, NP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307
Phone: 219-738-2100    
Bo Ra Nam, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897
Mrs. Kamartaj S Quadri, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307
Phone: 219-663-7000    Fax: 219-663-8621
Timothy James Mullally, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11275 Delaware Pkwy, Crown Point, IN 46307
Phone: 219-779-8735    Fax: 877-715-2312
Dr. Julie Ann Derosa, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10090 Georgia Street, Suite #3, Crown Point, IN 46307
Phone: 219-472-4077    Fax: 219-267-1720

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.