Lisa Kristine Mizeur, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Bend, Oregon. Her current practice location is
2600 Ne Neff Rd, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 706-4800.
Lisa Kristine Mizeur is licensed to practice in Oregon (license number 202100982NP-PP) 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 1003455742.
Physician's Profile
| Full Name | Lisa Kristine Mizeur |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2600 Ne Neff Rd, Bend, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003455742
- Provider Enumeration Date: 12/28/2019
- Last Update Date: 04/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628406873
- Enrollment ID: I20220714000834
Medical Identifiers
Medical identifiers for Lisa Kristine Mizeur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003455742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 95013410 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202100982NP-PP (Oregon) | 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 Kristine Mizeur allows following entities to bill medicare on her behalf.
| Entity Name | St Charles Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982621447
PECOS PAC ID: 3870402852
Enrollment ID: O20040112000045 |
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| Entity Name | St Charles Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023331303
PECOS PAC ID: 8729111513
Enrollment ID: O20100730000227 |
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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 Kristine Mizeur 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 |
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Lisa Kristine Mizeur, FNP
5100 Golden Hill Dr,
Weed, CA 96094-9644
Ph: (530) 356-5342 | Lisa Kristine Mizeur, FNP
2600 Ne Neff Rd,
Bend, OR 97701-6337
Ph: (541) 706-4800 |
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