Lisa Gennosa, PA-C is a medicare enrolled "Physician Assistant" in Robersonville, North Carolina. Her current practice location is
504 N Main St, Robersonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 795-5555.
Lisa Gennosa is licensed to practice in North Carolina (license number 0010-04811) 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 1457774028.
Provider's Profile
| Full Name | Lisa Gennosa |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 504 N Main St, Robersonville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457774028
- Provider Enumeration Date: 02/01/2014
- Last Update Date: 02/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 6507157153
- Enrollment ID: I20160629000722
Medical Identifiers
Medical identifiers for Lisa Gennosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457774028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 0010-04811 (North Carolina) | 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 Gennosa allows following entities to bill medicare on her behalf.
| Entity Name | Robersonville Physicians PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700075348 PECOS PAC ID: 8325199805 Enrollment ID: O20090623000396 |
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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 Gennosa 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 Gennosa, PA-C 504 N Main St, Robersonville, NC 27871-9567 Ph: (252) 795-5555 | Lisa Gennosa, PA-C 504 N Main St, Robersonville, NC 27871-9567 Ph: (252) 795-5555 |
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