Lisa Provenzano, NP in Bloomfield Hills, MI - Medicare Nurse Practitioner

Lisa Provenzano, NP is a medicare enrolled "Nurse Practitioner" in Bloomfield Hills, Michigan. She graduated from nursing school in 1990 and has 34 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Neuro Pain Consultants Pc and her current practice location is 359 Enterprise Ct Spc B, Bloomfield Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 751-7246.

Lisa Provenzano is licensed to practice in Michigan (license number 4704150069) 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 1609051135.

Contact Information

	Lisa Provenzano, NP
	359 Enterprise Ct Spc B, Bloomfield Hills, MI 48302-1055
	(248) 751-7246
	(248) 418-2311

Map and Direction

Provider's Profile

Full Name	Lisa Provenzano
Gender	Female
Speciality	Nurse Practitioner
Experience	34 Years
Location	359 Enterprise Ct Spc B, Bloomfield Hills, Michigan
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 Provenzano graduated from nursing school in 1990

NPI Data:

NPI Number: 1609051135
Provider Enumeration Date: 01/03/2008
Last Update Date: 05/23/2023

Medicare PECOS Information:

PECOS PAC ID: 3375510548
Enrollment ID: I20040916000187

Medical Identifiers

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

Identifier	Type	State	Issuer
1609051135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704150069 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neuro Pain Consultants Pc	1052204062	15

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 Provenzano allows following entities to bill medicare on her behalf.

Entity Name	Neuro Pain Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417936584 PECOS PAC ID: 1052204062 Enrollment ID: O20040204000468

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 Provenzano 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 Provenzano, NP 359 Enterprise Ct Spc B, Bloomfield Hills, MI 48302-1055 Ph: (248) 751-7246	Lisa Provenzano, NP 359 Enterprise Ct Spc B, Bloomfield Hills, MI 48302-1055 Ph: (248) 751-7246

Reviews and Comments

Nurse Practitioner Nurses in Bloomfield Hills, MI

Lauren Littleton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2525 S Telegraph Rd, Bloomfield Hills, MI 48302 Phone: 248-408-4139
Mrs. Tiffany Monique Huffman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43494 Woodward Ave, Bloomfield Hills, MI 48302 Phone: 248-481-4241
Mrs. Rachel Marie Munson, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36800 Woodward Ave Ste 230, Bloomfield Hills, MI 48304 Phone: 248-206-2100 Fax: 248-206-2101
Angelic Zaitouna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4050 W Maple Rd, Bloomfield Hills, MI 48301 Phone: 248-885-8211
Angela Chaplow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 S Telegraph Rd Ste 200, Bloomfield Hills, MI 48302 Phone: 248-451-1466
Cynthia Kalich Norscia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39520 Woodward Ave Ste 201, Bloomfield Hills, MI 48304 Phone: 855-940-4867
Heather Jane Thomson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3646 Pheasant Run, Bloomfield Hills, MI 48302 Phone: 248-826-3831

Lisa Provenzano, NP - Medicare Nurse Practitioner in Bloomfield Hills, MI