Lisa Mary Gall, NP is a medicare enrolled "Nurse Practitioner - Family" in Hillman, Minnesota. Her current practice location is
35294 Logan Ln, Hillman, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 277-3078.
Lisa Mary Gall is licensed to practice in Minnesota (license number R1085286) 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 1932180973.
Provider's Profile
| Full Name | Lisa Mary Gall |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 35294 Logan Ln, Hillman, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932180973
- Provider Enumeration Date: 11/08/2005
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577530286
- Enrollment ID: I20040913000941
Medical Identifiers
Medical identifiers for Lisa Mary Gall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932180973 | NPI | - | NPPES |
| HP46368 | Other | | HEALTH PARTNERS |
| 2172434 | Other | | ARAZ GROUP AMERICAS PPO |
| P00172825 | Other | | RAILROAD MEDICARE |
| 132230 | Other | | UCARE |
| 312K8GA | Other | | BLUE CROSS BLUE SHIELD |
| 0118421 | Other | | MEDICA HEALTH PLANS |
| 548522300 | Other | | MEDICAL ASSISTANCE |
| 1041752 | Other | | PREFERRED ONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R1085286 (Minnesota) | Secondary |
| 163WM1400X | Registered Nurse - Nurse Massage Therapist (nmt) | R1085286 (Minnesota) | Secondary |
| 251J00000X | Nursing Care | R1085286 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R1085286 (Minnesota) | 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 Mary Gall allows following entities to bill medicare on her behalf.
| Entity Name | Nature Break Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144022658
PECOS PAC ID: 7113436163
Enrollment ID: O20250602002944 |
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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 Mary Gall 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 Mary Gall, NP
35294 Logan Lane,
Hillman, MN 56338
Ph: (320) 630-9116 | Lisa Mary Gall, NP
35294 Logan Ln,
Hillman, MN 56338-2445
Ph: (320) 277-3078 |
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