Lisa Legvold, PA-C - Medicare Physician Assistant in Crystal, MN

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Lisa Legvold, PA-C is a medicare enrolled "Physician Assistant" in Crystal, Minnesota. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice United Skin Specialists Ltd and her current practice location is 4725 36th Ave N, Crystal, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 208-2058.

Lisa Legvold is licensed to practice in Minnesota (license number 11762) 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 1518357102.

Contact Information

Lisa Legvold, PA-C
4725 36th Ave N,
Crystal, MN 55422-2169
(218) 208-2058
Not Available

Map and Direction




Provider's Profile

Full NameLisa Legvold
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location4725 36th Ave N, Crystal, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Legvold graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1518357102
  • Provider Enumeration Date: 02/03/2015
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971820804
  • Enrollment ID: I20150402000510

Medical Identifiers

Medical identifiers for Lisa Legvold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518357102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11762 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Skin Specialists Ltd044655899315

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 Legvold allows following entities to bill medicare on her behalf.
Entity NameHeidi G H Cole
Entity TypePractitioner - Dermatology
Entity IdentifiersNPI Number: 1821054222
PECOS PAC ID: 2567427305
Enrollment ID: I20050401000654
Entity NameMinnesota Dermatology, PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609009380
PECOS PAC ID: 1658418181
Enrollment ID: O20091102000251
Entity NameUnited Skin Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861861759
PECOS PAC ID: 0446558993
Enrollment ID: O20160415001552

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 Legvold 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 Legvold, PA-C
820 Springer Dr,
Lombard, IL 60148-6413

Ph: (815) 744-8554		Lisa Legvold, PA-C
4725 36th Ave N,
Crystal, MN 55422-2169

Ph: (218) 208-2058

Reviews and Comments


Physician Assistant Nurses in Crystal, MN

Mrs. Katherine Rose Clark, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5109 36th Ave N, Crystal, MN 55422
Phone: 763-587-7999    Fax: 763-587-7989
Stephanie Albrecht Lee, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Bottineau Blvd Ste 100, Crystal, MN 55429
Phone: 763-504-6500    
Mrs. Katherine Mccourt Robinson Larson, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4725 36th Ave N, Crystal, MN 55422
Phone: 218-208-2058    
Sara Lynn Budhoo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Bottineau Blvd, Crystal, MN 55429
Phone: 763-504-6550    
Lisa Lapointe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5109 36th Ave N, Crystal, MN 55422
Phone: 763-587-7900    Fax: 763-587-7989
Mary E Broughton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5109 36th Ave N, Crystal, MN 55422
Phone: 763-587-7900    Fax: 763-587-7989
Tammy Gregerson, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5502 W Broadway Ave, Crystal, MN 55428
Phone: 763-504-6500    Fax: 763-504-6544

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.