Lisa Menillo, MD in Bristol, CT - Medicare Pediatrics

Lisa Menillo, MD is a medicare enrolled "Pediatrics" physician in Bristol, Connecticut. Her current practice location is 1301 Farmington Ave, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 589-4501.

Lisa Menillo is licensed to practice in Connecticut (license number 030842) 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 1952309924.

Contact Information

	Lisa Menillo, MD
	1301 Farmington Ave, Bristol, CT 06010-4776
	(860) 589-4501
	(860) 589-4502

Map and Direction

Physician's Profile

Full Name	Lisa Menillo
Gender	Female
Speciality	Pediatrics
Location	1301 Farmington Ave, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952309924
Provider Enumeration Date: 07/13/2005
Last Update Date: 10/08/2020

Medicare PECOS Information:

PECOS PAC ID: 8022335132
Enrollment ID: I20150331000846

Medical Identifiers

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

Identifier	Type	State	Issuer
1952309924	NPI	-	NPPES
001308429	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	030842 (Connecticut)	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 Menillo allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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 Menillo 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 Menillo, MD 1301 Farmington Ave, Bristol, CT 06010-4776 Ph: (860) 589-4501	Lisa Menillo, MD 1301 Farmington Ave, Bristol, CT 06010-4776 Ph: (860) 589-4501

Reviews and Comments

Pediatrics Doctors in Bristol, CT

Susan Glasser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43 Enterprise Dr, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297
Ranjit S Pandit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297
Dr. A.e. Hertzler Knox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Prohealth Physicians Of Bristol, 1251 Farmington Ave., Bristol, CT 06010 Phone: 860-584-4535 Fax: 860-589-7656
Bryan R Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43 Enterprise Dr, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297
Dr. Thomas G Ward, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Wolcott St, Bristol, CT 06010 Phone: 860-589-8872 Fax: 860-589-6468
Julie E Schiff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43 Enterprise Dr, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297
Taraluta H Parikh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Bristol, CT 06010 Phone: 860-628-8978

Lisa Menillo, MD - Medicare Pediatrics in Bristol, CT