Lisa Nicole Gantz, MD in West Hollywood, CA - Medicare Pediatric Medicine

Lisa Nicole Gantz, MD is a medicare enrolled "Pediatrics" physician in West Hollywood, California. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice County Of Los Angeles and her current practice location is 8700 Beverly Blvd, West Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (310) 423-4780.

Lisa Nicole Gantz is licensed to practice in California (license number A145424) 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 1679968887.

Contact Information

	Lisa Nicole Gantz, MD
	8700 Beverly Blvd, West Hollywood, CA 90048-1804
	(310) 423-4780
	(310) 423-0145

Map and Direction

Physician's Profile

Full Name	Lisa Nicole Gantz
Gender	Female
Speciality	Pediatric Medicine
Experience	8 Years
Location	8700 Beverly Blvd, West Hollywood, California
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 Nicole Gantz graduated from medical school in 2016

NPI Data:

NPI Number: 1679968887
Provider Enumeration Date: 04/03/2015
Last Update Date: 07/03/2019

Medicare PECOS Information:

PECOS PAC ID: 2062754443
Enrollment ID: I20190506000738

Medical Identifiers

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

Identifier	Type	State	Issuer
1679968887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	145424 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(California)	Secondary
208000000X	Pediatrics	A145424 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lac/olive View-ucla Medical Center	Sylmar, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Los Angeles	1850296534	295

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 Nicole Gantz allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358

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 Nicole Gantz 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 Nicole Gantz, MD Po Box 512717, Los Angeles, CA 90051-0717 Ph: () -	Lisa Nicole Gantz, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-4780

Reviews and Comments

Pediatrics Doctors in West Hollywood, CA

Dr. Kenan Mohammed Nadar, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4451 Fax: 310-423-2114
Dr. Manoj A Biniwale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd Ste 4221, West Hollywood, CA 90048 Phone: 310-423-4451 Fax: 310-423-4131
Seth J Langston, Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4451 Fax: 310-423-2114
Dr. Catherine Teressa Thriveni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd Ste 4221, West Hollywood, CA 90048 Phone: 310-423-4467
Dipti Padhya, Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd Ste 4221, West Hollywood, CA 90048 Phone: 310-423-6310 Fax: 310-423-4131
Dr. Nicole M Baca, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4471 Fax: 310-423-0145
Leena Caroline Gibson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, Suite 4311, West Hollywood, CA 90048 Phone: 310-423-4434 Fax: 310-423-2114

Lisa Nicole Gantz, MD - Medicare Pediatric Medicine in West Hollywood, CA