Lisa M Benedetto, CNM is a medicare enrolled "Advanced Practice Midwife" in Ithaca, New York. Her current practice location is
132 Indian Creek Rd, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 379-9606.
Lisa M Benedetto is licensed to practice in New York (license number F00149-1) 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 1386968899.
Provider's Profile
Full Name | Lisa M Benedetto |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 132 Indian Creek Rd, Ithaca, New York |
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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: 1386968899
- Provider Enumeration Date: 03/26/2010
- Last Update Date: 05/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678721396
- Enrollment ID: I20120920000718
Medical Identifiers
Medical identifiers for Lisa M Benedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386968899 | NPI | - | NPPES |
26371243 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 171868 (Colorado) | Secondary |
367A00000X | Advanced Practice Midwife | 13010 (Colorado) | Secondary |
367A00000X | Advanced Practice Midwife | F00149-1 (New York) | 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 M Benedetto 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 M Benedetto, CNM 132 Indian Creek Rd, Ithaca, NY 14850-1331 Ph: (607) 379-9606 | Lisa M Benedetto, CNM 132 Indian Creek Rd, Ithaca, NY 14850-1331 Ph: (607) 379-9606 |
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