Lisa A Olson-gugerty, NP - Medicare Nurse Practitioner in Vestal, NY

Lisa A Olson-gugerty, NP is a medicare enrolled "Nurse Practitioner - Family" in Vestal, New York. She went to State University Of Ny Upstate Medical University and graduated in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cma Medical Practice Pllc, Port City Emergency Physicians Llp, Cayuga Medical Associates Pc and her current practice location is 4417 Vestal Pkwy E, Vestal, New York. You can reach out to her office (for appointments etc.) via phone at (607) 729-2144.

Lisa A Olson-gugerty is licensed to practice in New York (license number 336857) 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 1083902027.

Contact Information

Lisa A Olson-gugerty, NP
4417 Vestal Pkwy E,
Vestal, NY 13850-3556
(607) 729-2144
Not Available

Map and Direction




Provider's Profile

Full NameLisa A Olson-gugerty
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location4417 Vestal Pkwy E, Vestal, New York
Accepts Medicare AssignmentsYes. 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 A Olson-gugerty attended and graduated from State University Of Ny Upstate Medical University in 2011
  NPI Data:
  • NPI Number: 1083902027
  • Provider Enumeration Date: 07/12/2011
  • Last Update Date: 05/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6406029024
  • Enrollment ID: I20111027000058

Medical Identifiers

Medical identifiers for Lisa A Olson-gugerty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083902027NPI-NPPES
03411983MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 336857 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cayuga Medical Center At IthacaIthaca, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cma Medical Practice Pllc761821456032
Port City Emergency Physicians Llp034530191749
Cayuga Medical Associates Pc6709897960283

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 A Olson-gugerty allows following entities to bill medicare on her behalf.
Entity NameDepartment Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051
Entity NameCayuga Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525455
PECOS PAC ID: 6709897960
Enrollment ID: O20060601000199
Entity NamePort City Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134370547
PECOS PAC ID: 0345301917
Enrollment ID: O20081202000420
Entity NameCma Medical Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962985564
PECOS PAC ID: 7618214560
Enrollment ID: O20190130001697
Entity NameIthaca Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164166559
PECOS PAC ID: 2961887583
Enrollment ID: O20220919001604

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 A Olson-gugerty 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 AddressPractice Location Address
Lisa A Olson-gugerty, NP
82 Copeland Ave,
Homer, NY 13077-1528

Ph: (607) 749-2640
Lisa A Olson-gugerty, NP
4417 Vestal Pkwy E,
Vestal, NY 13850-3556

Ph: (607) 729-2144

Reviews and Comments


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Aline Stabler, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850
Phone: 607-729-2144    Fax: 607-729-2145

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.