Lisa Omo-griffith, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Lisa Omo-griffith, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eventus Ecs, Inc, Extended Care Specialists, Inc and her current practice location is 5646 Coventry Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 203-5441.

Lisa Omo-griffith is licensed to practice in Indiana (license number 71003136) 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 1629399696.

Contact Information

	Lisa Omo-griffith, NP
	5646 Coventry Ln, Fort Wayne, IN 46804-7140
	(260) 203-5441
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Omo-griffith
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	5646 Coventry Ln, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. 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 Omo-griffith graduated from nursing school in 2009

NPI Data:

NPI Number: 1629399696
Provider Enumeration Date: 06/14/2010
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6709072853
Enrollment ID: I20101201000449

Medical Identifiers

Medical identifiers for Lisa Omo-griffith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629399696	NPI	-	NPPES
000000682872	Other	IN	ANTHEM
0069880	Medicaid	OH
200999600	Medicaid	IN
P01044179	Other	IN	R.R. MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28156677 (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	COA13460 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	71003136 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eventus Ecs, Inc	2163969650	230
Extended Care Specialists, Inc	2466407713	271

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 Omo-griffith allows following entities to bill medicare on her behalf.

Entity Name	Extended Care Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726

Entity Name	Hospital Care Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295083624 PECOS PAC ID: 7416107487 Enrollment ID: O20140529001220

Entity Name	Eventus Wholehealth Midwest Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277

Entity Name	Fwbh Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932843117 PECOS PAC ID: 3274909528 Enrollment ID: O20230123002617

Entity Name	Eventus Ecs, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240801002542

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 Omo-griffith 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 Omo-griffith, NP 6809 Covington Creek Trl, Fort Wayne, IN 46804-2871 Ph: (260) 437-4173	Lisa Omo-griffith, NP 5646 Coventry Ln, Fort Wayne, IN 46804-7140 Ph: (260) 203-5441

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Lisa Omo-griffith, NP - Medicare Nurse Practitioner in Fort Wayne, IN