Lisa M Guetzko, MD is a medicare enrolled "Pediatrics" physician in Princeton, Minnesota. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Fairview Clinics and her current practice location is
919 Northland Dr, Princeton, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 389-3344.
Lisa M Guetzko is licensed to practice in Minnesota (license number 55638) 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 1831388974.
Physician's Profile
| Full Name | Lisa M Guetzko |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 19 Years |
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| Location | 919 Northland Dr, Princeton, Minnesota |
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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. |
Medical Education and Training:
- Lisa M Guetzko attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2006
NPI Data:
- NPI Number: 1831388974
- Provider Enumeration Date: 10/15/2007
- Last Update Date: 05/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840446670
- Enrollment ID: I20120810000460
Medical Identifiers
Medical identifiers for Lisa M Guetzko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831388974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | A108780 (California) | Secondary |
| 208000000X | Pediatrics | 55638 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fairview Clinics | 7113830142 | 736 |
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 M Guetzko allows following entities to bill medicare on her behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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| Entity Name | Fairview Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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| Entity Name | Fairview Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
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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 M Guetzko 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 M Guetzko, MD 9855 Hospital Dr Ste 102b, Maple Grove, MN 55369-5021 Ph: (763) 581-5900 | Lisa M Guetzko, MD 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 |
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