Lisa Ann Kazakis, APRN, FNP-BC, PHMNP- is a medicare enrolled "Nurse Practitioner - Family" in Weare, New Hampshire. Her current practice location is
75 Pondview Rd, Weare, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 801-0832.
Lisa Ann Kazakis is licensed to practice in New Hampshire (license number 042820-23) 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 1063983690.
Provider's Profile
| Full Name | Lisa Ann Kazakis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 75 Pondview Rd, Weare, New Hampshire |
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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: 1063983690
- Provider Enumeration Date: 12/07/2018
- Last Update Date: 09/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618207358
- Enrollment ID: I20190924001389
Medical Identifiers
Medical identifiers for Lisa Ann Kazakis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063983690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN2313871 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 042820-23 (New Hampshire) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 042820-23 (New Hampshire) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2313871 (Massachusetts) | Secondary |
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 Ann Kazakis allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221007001608 |
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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 Ann Kazakis 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 |
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Lisa Ann Kazakis, APRN, FNP-BC, PHMNP-
75 Pondview Rd,
Weare, NH 03281-5021
Ph: (603) 801-0832 | Lisa Ann Kazakis, APRN, FNP-BC, PHMNP-
75 Pondview Rd,
Weare, NH 03281-5021
Ph: (603) 801-0832 |
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