Lisa S Sisk, CNM is a medicare enrolled "Advanced Practice Midwife" in Kings Mountain, North Carolina. Her current practice location is
821 E King St, Kings Mountain, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(980) 487-2800.
Lisa S Sisk is licensed to practice in North Carolina (license number 98827) 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 1255532081.
Provider's Profile
| Full Name | Lisa S Sisk |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 821 E King St, Kings Mountain, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255532081
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072645068
- Enrollment ID: I20100708001043
Medical Identifiers
Medical identifiers for Lisa S Sisk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255532081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 98827 (North Carolina) | 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 S Sisk allows following entities to bill medicare on her behalf.
| Entity Name | Carolinas Physicians Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819 |
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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 S Sisk 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 S Sisk, CNM
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Lisa S Sisk, CNM
821 E King St,
Kings Mountain, NC 28086-3186
Ph: (980) 487-2800 |
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