Lisa Marie Perkins, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Dundee, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Smoky Mountain Urgent Care Pc and her current practice location is
28149 Hwy 27, Dundee, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 438-9110.
Lisa Marie Perkins is licensed to practice in Florida (license number ARNP9279638) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780197111.
Provider's Profile
| Full Name | Lisa Marie Perkins |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 28149 Hwy 27, Dundee, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Marie Perkins graduated from nursing school in 2017
NPI Data:
- NPI Number: 1780197111
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 11/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 4981032349
- Enrollment ID: I20200317002716
Medical Identifiers
Medical identifiers for Lisa Marie Perkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780197111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | ARNP9279638 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Smoky Mountain Urgent Care Pc | 8022242148 | 5 |
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 Marie Perkins allows following entities to bill medicare on her behalf.
| Entity Name | Smoky Mountain Urgent Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407295447
PECOS PAC ID: 8022242148
Enrollment ID: O20131003000283 |
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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 Marie Perkins 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 Marie Perkins, FNP-BC
98 Center St,
Winter Haven, FL 33880-5313
Ph: (863) 514-6761 | Lisa Marie Perkins, FNP-BC
28149 Hwy 27,
Dundee, FL 33838-4274
Ph: (863) 438-9110 |
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