Lisa Kiernan, is a medicare enrolled "Nurse Practitioner" physician in Bonaire, Georgia. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
119 Golden Pond Blvd, Bonaire, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 258-6636.
Lisa Kiernan is licensed to practice in Georgia (license number RN258735) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1992509244.
Physician's Profile
| Full Name | Lisa Kiernan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 119 Golden Pond Blvd, Bonaire, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Kiernan graduated from medical school in 2025
NPI Data:
- NPI Number: 1992509244
- Provider Enumeration Date: 04/03/2025
- Last Update Date: 05/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587179023
- Enrollment ID: I20250714004228
Medical Identifiers
Medical identifiers for Lisa Kiernan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992509244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | RN258735 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN258735 (Georgia) | Primary |
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 Kiernan 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 Kiernan,
119 Golden Pond Blvd,
Bonaire, GA 31005-4427
Ph: (478) 258-6636 | Lisa Kiernan,
119 Golden Pond Blvd,
Bonaire, GA 31005-4427
Ph: (478) 258-6636 |
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