Lisa Kristine Mizeur, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Bend, Oregon. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Charles Health System Inc, St Charles Health System Inc and 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
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 1003455742.
Physician's Profile
| Full Name | Lisa Kristine Mizeur |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 2600 Ne Neff Rd, Bend, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Kristine Mizeur graduated from medical school in 2019
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Charles Health System Inc | 3870402852 | 164 |
| St Charles Health System Inc | 8729111513 | 301 |
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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