Marianne Lissade, AGNP-C in Stone Mountain, GA

Marianne Lissade, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Stone Mountain, Georgia. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Center For Pan Asian Community Services, Inc. and her current practice location is 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 444-3134.

Marianne Lissade is licensed to practice in Georgia (license number RN147281) 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 1780036152.

Contact Information

	Marianne Lissade, AGNP-C
	1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306
	(470) 444-3134
	(470) 276-4370

Map and Direction

Provider's Profile

Full Name	Marianne Lissade
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia
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:

Marianne Lissade graduated from nursing school in 2016

NPI Data:

NPI Number: 1780036152
Provider Enumeration Date: 07/08/2016
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7517250400
Enrollment ID: I20160729001966

Medical Identifiers

Medical identifiers for Marianne Lissade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780036152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	RN147281 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN147281 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Center For Pan Asian Community Services, Inc.	1355569765	3

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. Marianne Lissade allows following entities to bill medicare on her behalf.

Entity Name	Center For Pan Asian Community Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336493311 PECOS PAC ID: 1355569765 Enrollment ID: O20140827000843

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. Marianne Lissade 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
Marianne Lissade, AGNP-C Po Box 740015, Atlanta, GA 30374-0015 Ph: (312) 733-9730	Marianne Lissade, AGNP-C 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306 Ph: (470) 444-3134

Reviews and Comments

Nurse Practitioner Nurses in Stone Mountain, GA

Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161
Mr. Justin Stewart Kitchens, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753
Marc Elie Cayemitte, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr Ste 101, Stone Mountain, GA 30083 Phone: 470-544-0854
Sherrie Melton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088 Phone: 404-296-8858

Marianne Lissade, AGNP-C - Medicare Nurse Practitioner in Stone Mountain, GA