Lisa Hanna, AGPCNP is a
Nurse Practitioner - Gerontology based in Mount Pocono, Pennsylvania. Lisa Hanna is licensed to practice in Pennsylvania (license number RN609452) and her current practice location is
111 Alice Ln, Mount Pocono, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 972-7879.
NPI number for Lisa Hanna is 1649143090 and her current mailing address is 111 Alice Ln, Mount Pocono, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649143090.
Provider's Profile
| Full Name | Lisa Hanna |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 111 Alice Ln, Mount Pocono, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649143090
- Provider Enumeration Date: 09/23/2025
- Last Update Date: 09/23/2025
Medical Identifiers
Medical identifiers for Lisa Hanna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649143090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | RN609452 (Pennsylvania) | Primary |
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 Hanna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa Hanna, AGPCNP
111 Alice Ln,
Mount Pocono, PA 18344-7100
Ph: () - | Lisa Hanna, AGPCNP
111 Alice Ln,
Mount Pocono, PA 18344-7100
Ph: (570) 972-7879 |
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