Mrs Lisa A Manca, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in New Haven, Connecticut. Her current practice location is
20 York St, Cb-2041, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 688-4748.
Mrs Lisa A Manca is licensed to practice in Connecticut (license number 2333) 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 1225364557.
Physician's Profile
| Full Name | Mrs Lisa A Manca |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 20 York St, Cb-2041, New Haven, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225364557
- Provider Enumeration Date: 10/21/2009
- Last Update Date: 03/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 1658521208
- Enrollment ID: I20121017000524
Medical Identifiers
Medical identifiers for Mrs Lisa A Manca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225364557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 002333 (Connecticut) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2333 (Connecticut) | Primary |
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. Mrs Lisa A Manca 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 |
|---|
Mrs Lisa A Manca, PA-C
20 York Street, Cb-2041,
New Haven, CT 06510
Ph: (203) 688-4748 | Mrs Lisa A Manca, PA-C
20 York St, Cb-2041,
New Haven, CT 06510-3220
Ph: (203) 688-4748 |
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