Lisa Marie Rullie, PMHNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Marlborough, Massachusetts. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Progressive Therapeutics Llc, Three Rivers Mental Health Pllc and her current practice location is
11 Apex Dr Ste 300a, Marlborough, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 919-6179.
Lisa Marie Rullie is licensed to practice in Massachusetts (license number 2019042883) 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 1649523523.
Provider's Profile
| Full Name | Lisa Marie Rullie |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 11 Apex Dr Ste 300a, Marlborough, Massachusetts |
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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 Marie Rullie graduated from nursing school in 2015
NPI Data:
- NPI Number: 1649523523
- Provider Enumeration Date: 10/17/2012
- Last Update Date: 03/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 8921414525
- Enrollment ID: I20210305000912
Medical Identifiers
Medical identifiers for Lisa Marie Rullie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649523523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 2019042883 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2019042883 (Massachusetts) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 2019042883 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Progressive Therapeutics Llc | 9638234750 | 13 |
| Three Rivers Mental Health Pllc | 8325483720 | 6 |
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 Rullie allows following entities to bill medicare on her behalf.
| Entity Name | Progressive Therapeutics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386838266
PECOS PAC ID: 9638234750
Enrollment ID: O20090224000310 |
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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 Rullie 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 Rullie, PMHNP
11 Apex Dr Ste 300a,
Marlborough, MA 01752-1977
Ph: (508) 919-6179 | Lisa Marie Rullie, PMHNP
11 Apex Dr Ste 300a,
Marlborough, MA 01752-1977
Ph: (508) 919-6179 |
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