Lisa Kotula, PMHNP - Medicare Nurse Practitioner in Harrison Twp, MI

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Lisa Kotula, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Harrison Twp, Michigan. Her current practice location is 25912 Ashby Dr, Harrison Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 242-6623.

Lisa Kotula is licensed to practice in Michigan (license number 4704212792) 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 1639912298.

Contact Information

Lisa Kotula, PMHNP
25912 Ashby Dr,
Harrison Twp, MI 48045-3081
(586) 242-6623
Not Available

Map and Direction




Provider's Profile

Full NameLisa Kotula
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location25912 Ashby Dr, Harrison Twp, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639912298
  • Provider Enumeration Date: 06/13/2024
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749717312
  • Enrollment ID: I20241219004112

Medical Identifiers

Medical identifiers for Lisa Kotula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639912298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704212792 (Michigan)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 Kotula allows following entities to bill medicare on her behalf.
Entity NameDownriver Mental Health Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533
Entity NamePure Psychiatry Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831701671
PECOS PAC ID: 1254741283
Enrollment ID: O20201103002311
Entity NameHealing Mental Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497470975
PECOS PAC ID: 4789050188
Enrollment ID: O20221025003241

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 Kotula 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 Kotula, PMHNP
25912 Ashby Dr,
Harrison Twp, MI 48045-3081

Ph: (586) 242-6623		Lisa Kotula, PMHNP
25912 Ashby Dr,
Harrison Twp, MI 48045-3081

Ph: (586) 242-6623

Reviews and Comments


Nurse Practitioner Nurses in Harrison Twp, MI

Robert J Wilson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 39320 Hazel St, Harrison Twp, MI 48045
Phone: 586-260-6990    

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.