Lisa Bennett, MD is a medicare enrolled "Ophthalmology" physician in Mequon, Wisconsin. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Madison Medical Affiliates Inc and her current practice location is
10320 N Port Washington Rd, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 241-1919.
Lisa Bennett is licensed to practice in Wisconsin (license number 70489) 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 1619354743.
Physician's Profile
| Full Name | Lisa Bennett |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 10 Years |
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| Location | 10320 N Port Washington Rd, Mequon, Wisconsin |
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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 Bennett graduated from medical school in 2015
NPI Data:
- NPI Number: 1619354743
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375846652
- Enrollment ID: I20190819002200
Medical Identifiers
Medical identifiers for Lisa Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619354743 | NPI | - | NPPES |
| 1619354743 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 70489 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Madison Medical Affiliates Inc | 5991606337 | 83 |
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 Bennett allows following entities to bill medicare on her behalf.
| Entity Name | Madison Medical Affiliates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
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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 Bennett 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 Bennett, MD 788 N Jefferson St Ste 300, Milwaukee, WI 53202-3710 Ph: (414) 272-8950 | Lisa Bennett, MD 10320 N Port Washington Rd, Mequon, WI 53092-5767 Ph: (262) 241-1919 |
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