Lisa L Mcdonald, FNP-C is a medicare enrolled "Nurse Practitioner" in Ellenburg, New York. She went to Keokuk Medical College, College Of Physicians And Surgeons and graduated in 1996 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Plattsburgh Medical Care Pllc and her current practice location is
16 St Edmunds Way, Ellenburg, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 594-3500.
Lisa L Mcdonald is licensed to practice in New York (license number F331452-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770691016.
Provider's Profile
| Full Name | Lisa L Mcdonald |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 29 Years |
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| Location | 16 St Edmunds Way, Ellenburg, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa L Mcdonald attended and graduated from Keokuk Medical College, College Of Physicians And Surgeons in 1996
NPI Data:
- NPI Number: 1770691016
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 05/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 9234310681
- Enrollment ID: I20110218000253
Medical Identifiers
Medical identifiers for Lisa L Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770691016 | NPI | - | NPPES |
| 0510G | Other | | EMPIRE BC/BS |
| 02218500 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 370412-1 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | F331452-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Plattsburgh Medical Care Pllc | 8729088430 | 7 |
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 L Mcdonald allows following entities to bill medicare on her behalf.
| Entity Name | Plattsburgh Medical Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982703070
PECOS PAC ID: 8729088430
Enrollment ID: O20070103000199 |
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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 L Mcdonald 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 L Mcdonald, FNP-C
16 St Edmunds Way, Po Box 94,
Ellenburg, NY 12933-9998
Ph: (518) 594-3500 | Lisa L Mcdonald, FNP-C
16 St Edmunds Way,
Ellenburg, NY 12933-9998
Ph: (518) 594-3500 |
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