Lisa Ly Hata, MD in Santa Clara, CA

Lisa Ly Hata, MD is a medicare enrolled "Urology" physician in Santa Clara, California. Her current practice location is 710 Lawrence Expy Dept 448, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-4515.

Lisa Ly Hata is licensed to practice in California (license number 196344) 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 1225698566.

Contact Information

	Lisa Ly Hata, MD
	710 Lawrence Expy Dept 448, Santa Clara, CA 95051-5173
	(408) 851-4515
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Ly Hata
Gender	Female
Speciality	Urology
Location	710 Lawrence Expy Dept 448, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225698566
Provider Enumeration Date: 06/18/2019
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 8022343961
Enrollment ID: I20240923001960

Medical Identifiers

Medical identifiers for Lisa Ly Hata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225698566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	196344 (California)	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 Ly Hata allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Ly Hata 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 Ly Hata, MD 2673 Rikkard Dr, Thousand Oaks, CA 91362-4609 Ph: (805) 558-3894	Lisa Ly Hata, MD 710 Lawrence Expy Dept 448, Santa Clara, CA 95051-5173 Ph: (408) 851-4515

Reviews and Comments

Urology Doctors in Santa Clara, CA

Jacqueline N. Pelavin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Ronald Y. Yamaguchi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Dr. Sarah Wing Man Chan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 Phone: 408-851-4515
Dr. Sarah Conley Evans, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Urology 448, Santa Clara, CA 95051 Phone: 408-851-4515
Robert Greg Harris, MD Urology Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Farhad Parivar, MD Urology Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000

Lisa Ly Hata, MD - Medicare Urology in Santa Clara, CA