Dr Lisa Joan Pfitzer, MD is a medicare enrolled "Pediatrics - Child Abuse Pediatrics" in Saint Louis, Missouri. Her current practice location is
12680 Olive Blvd Ste 200, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 529-5660.
Dr Lisa Joan Pfitzer is licensed to practice in Missouri (license number 2022018676) 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 1518978097.
Provider's Profile
| Full Name | Dr Lisa Joan Pfitzer |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics - Child Abuse Pediatrics |
|---|
| Location | 12680 Olive Blvd Ste 200, Saint Louis, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1518978097
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 09/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032205547
- Enrollment ID: I20191030000105
Medical Identifiers
Medical identifiers for Dr Lisa Joan Pfitzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518978097 | NPI | - | NPPES |
| 200885700 | Medicaid | IN | |
| 64034259 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3012736 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 36493 (Kentucky) | Secondary |
| 2080C0008X | Pediatrics - Child Abuse Pediatrics | 36493 (Kentucky) | Secondary |
| 2080C0008X | Pediatrics - Child Abuse Pediatrics | 2022018676 (Missouri) | 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. Dr Lisa Joan Pfitzer allows following entities to bill medicare on her behalf.
| Entity Name | Seven Counties Services, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1598793671
PECOS PAC ID: 1759294424
Enrollment ID: O20031110000034 |
|---|
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. Dr Lisa Joan Pfitzer 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 |
|---|
Dr Lisa Joan Pfitzer, MD
12680 Olive Blvd Ste 200,
Saint Louis, MO 63141-6322
Ph: (314) 529-5660 | Dr Lisa Joan Pfitzer, MD
12680 Olive Blvd Ste 200,
Saint Louis, MO 63141-6322
Ph: (314) 529-5660 |
Reviews and Comments