Alla Lisova, APRN in Louisville, KY - Medicare Nurse Practitioner

Alla Lisova, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Louisville Physicians Inc and her current practice location is 530 S Jackson St, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 588-4600.

Alla Lisova is licensed to practice in Kentucky (license number 3013041) 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 1285299313.

Contact Information

	Alla Lisova, APRN
	530 S Jackson St, Louisville, KY 40202-1675
	(502) 588-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Alla Lisova
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	530 S Jackson St, Louisville, Kentucky
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:

Alla Lisova graduated from nursing school in 2016

NPI Data:

NPI Number: 1285299313
Provider Enumeration Date: 05/03/2019
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3274949805
Enrollment ID: I20210305002357

Medical Identifiers

Medical identifiers for Alla Lisova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285299313	NPI	-	NPPES
7100684220	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71011328A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	3013041 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Hospitals, Inc	Louisville, KY	Hospital
Baptist Health Louisville	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Louisville Physicians Inc	3476725599	1264

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. Alla Lisova allows following entities to bill medicare on her behalf.

Entity Name	Kidney Care Consultants Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083635908 PECOS PAC ID: 9537139282 Enrollment ID: O20040729000530

Entity Name	Pearl Geriatrics And Palliative Medicine, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376865972 PECOS PAC ID: 6103954847 Enrollment ID: O20100517000606

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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. Alla Lisova 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
Alla Lisova, APRN Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-4600	Alla Lisova, APRN 530 S Jackson St, Louisville, KY 40202-1675 Ph: (502) 588-4600

Reviews and Comments

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Harold Dean O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10798 Dixie Hwy Ste 102, Louisville, KY 40272 Phone: 502-449-6464 Fax: 502-449-6465
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Alla Lisova, APRN - Medicare Nurse Practitioner in Louisville, KY