Lisa Staab, CRNP in Georgetown, DE - Medicare Nurse Practitioner

Lisa Staab, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Georgetown, Delaware. Her current practice location is 2 Lee Ave, Georgetown, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 856-4092.

Lisa Staab is licensed to practice in Delaware (license number LG-0011818) 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 1447836135.

Contact Information

	Lisa Staab, CRNP
	2 Lee Ave, Georgetown, DE 19947-2149
	(302) 856-4092
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Staab
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2 Lee Ave, Georgetown, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447836135
Provider Enumeration Date: 03/22/2021
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9234515636
Enrollment ID: I20221010000578

Medical Identifiers

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

Identifier	Type	State	Issuer
1447836135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R085703 (Maryland)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	LG-0011818 (Delaware)	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 Staab allows following entities to bill medicare on her behalf.

Entity Name	Atlantic Family Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346668886 PECOS PAC ID: 9234448283 Enrollment ID: O20151014002046

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 Staab 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 Staab, CRNP 541 Chestnut Hill Rd, Forest Hill, MD 21050-1720 Ph: (443) 528-4639	Lisa Staab, CRNP 2 Lee Ave, Georgetown, DE 19947-2149 Ph: (302) 856-4092

Reviews and Comments

Nurse Practitioner Nurses in Georgetown, DE

Ms. Mimi Joye Hilderley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438
Tracy L Dysard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438
Mrs. Jeanette M Grant, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21444 Carmean Way, Georgetown, DE 19947 Phone: 302-855-1233 Fax: 302-855-2025
Ms. Amber L Sharp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Lee Ave Unit 103, Georgetown, DE 19947 Phone: 302-856-4092
Jessica W Baxter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 W Market St, Georgetown, DE 19947 Phone: 302-856-7099
Melissa Galloway, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd, Georgetown, DE 19947 Phone: 302-856-3737 Fax: 302-856-7337
Mrs. Brenda Irene King, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 W Market St, Georgetown, DE 19947 Phone: 302-856-4120

Lisa Staab, CRNP - Medicare Nurse Practitioner in Georgetown, DE