Lisa Osborne, CRNA in Fort Wayne, IN - Medicare Nurse Anesthetist, Certified Registered

Lisa Osborne, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. Her current practice location is 5734 Coventry Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7875.

Lisa Osborne is licensed to practice in Indiana (license number 28176743A) 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 1104247766.

Contact Information

	Lisa Osborne, CRNA
	5734 Coventry Ln, Fort Wayne, IN 46804-7141
	(260) 436-7875
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Osborne
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	5734 Coventry Ln, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104247766
Provider Enumeration Date: 12/30/2013
Last Update Date: 12/30/2013

Medicare PECOS Information:

PECOS PAC ID: 2466681911
Enrollment ID: I20230612001690

Medical Identifiers

Medical identifiers for Lisa Osborne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104247766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28176743A (Indiana)	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 Osborne allows following entities to bill medicare on her behalf.

Entity Name	Priority Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689816365 PECOS PAC ID: 0446300073 Enrollment ID: O20090602000588

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 Osborne 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 Osborne, CRNA 5734 Coventry Ln, Fort Wayne, IN 46804-7141 Ph: (260) 436-7875	Lisa Osborne, CRNA 5734 Coventry Ln, Fort Wayne, IN 46804-7141 Ph: (260) 436-7875

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812

Lisa Osborne, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Wayne, IN