Lisa Fazi-diedrich, MD in Philadelphia, PA

Lisa Fazi-diedrich, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Philadelphia, Pennsylvania. Her current practice location is 160 E Erie Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 427-5220.

Lisa Fazi-diedrich is licensed to practice in Pennsylvania (license number MD058440L) 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 1699786186.

Contact Information

	Lisa Fazi-diedrich, MD
	160 E Erie Ave, Philadelphia, PA 19134-1011
	(215) 427-5220
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Fazi-diedrich
Gender	Female
Speciality	Anesthesiology - Pediatric Anesthesiology
Location	160 E Erie Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699786186
Provider Enumeration Date: 08/10/2006
Last Update Date: 03/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6709891575
Enrollment ID: I20060215000439

Medical Identifiers

Medical identifiers for Lisa Fazi-diedrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699786186	NPI	-	NPPES
0016760420	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MD058440L (Pennsylvania)	Secondary
207LP3000X	Anesthesiology - Pediatric Anesthesiology	MD058440L (Pennsylvania)	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. Lisa Fazi-diedrich allows following entities to bill medicare on her behalf.

Entity Name	Stc Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254

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 Fazi-diedrich 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
Lisa Fazi-diedrich, MD Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-1324	Lisa Fazi-diedrich, MD 160 E Erie Ave, Philadelphia, PA 19134-1011 Ph: (215) 427-5220

Reviews and Comments

Anesthesiology Doctors in Philadelphia, PA

Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085
Aaron William Montani, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664

Lisa Fazi-diedrich, MD - Medicare Anesthesiology in Philadelphia, PA