Lisa Broody, CRNP in Media, PA - Medicare Nurse Practitioner

Lisa Broody, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Media, Pennsylvania. Her current practice location is 1088 W Baltimore Pike, Suite #2208, Media, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 891-3049.

Lisa Broody is licensed to practice in Pennsylvania (license number SP009148) 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 1487737417.

Contact Information

	Lisa Broody, CRNP
	1088 W Baltimore Pike, Suite #2208, Media, PA 19063-5146
	(610) 891-3049
	(610) 891-3919

Map and Direction

Provider's Profile

Full Name	Lisa Broody
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1088 W Baltimore Pike, Media, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487737417
Provider Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4284074311
Enrollment ID: I20240506003659

Medical Identifiers

Medical identifiers for Lisa Broody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487737417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP009148 (Pennsylvania)	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. Lisa Broody allows following entities to bill medicare on her behalf.

Entity Name	Lewis Family Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790795995 PECOS PAC ID: 2961661491 Enrollment ID: O20120302000047

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 Broody 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
Lisa Broody, CRNP 1088 W Baltimore Pike, Suite #2208, Media, PA 19063-5146 Ph: (610) 891-3049	Lisa Broody, CRNP 1088 W Baltimore Pike, Suite #2208, Media, PA 19063-5146 Ph: (610) 891-3049

Reviews and Comments

Nurse Practitioner Nurses in Media, PA

Janeen A Franz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1088 W Baltimore Pike, Suite 2500, Media, PA 19063 Phone: 610-565-4107 Fax: 610-565-8349
Ms. Phuong Ngo, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-3218
Tanya Ann Kozuch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E State St Ste 205, Media, PA 19063 Phone: 610-521-2053
Kaela Mclaughlin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-9400
Maureen Lubas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 W Baltimore Pike, Suite 3101, Media, PA 19063 Phone: 610-891-9277
Carol L Tanzio, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 176 S New Middletown Rd, Mob, 1st Floor, Media, PA 19063 Phone: 610-627-3690 Fax: 610-627-3684
Mrs. Ellah C. Nota, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Glen Riddle Rd, Media, PA 19063 Phone: 610-410-9933 Fax: 360-291-7711

Lisa Broody, CRNP - Medicare Nurse Practitioner in Media, PA