Miss Lisa Nutter, RN/PC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Woburn, Massachusetts. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Child And Family Psychological Services Pllc and her current practice location is
12 Alfred St, Suite 200, Woburn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 646-0500.
Miss Lisa Nutter is licensed to practice in Massachusetts (license number 229836) 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 1114114410.
Provider's Profile
| Full Name | Miss Lisa Nutter |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 16 Years |
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| Location | 12 Alfred St, Woburn, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Lisa Nutter graduated from nursing school in 2008
NPI Data:
- NPI Number: 1114114410
- Provider Enumeration Date: 10/01/2007
- Last Update Date: 08/17/2009
Medicare PECOS Information:
- PECOS PAC ID: 9234293002
- Enrollment ID: I20090123000277
Medical Identifiers
Medical identifiers for Miss Lisa Nutter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114114410 | NPI | - | NPPES |
| 1305638 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 229836 (Massachusetts) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Child And Family Psychological Services Pllc | 5991763823 | 168 |
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. Miss Lisa Nutter allows following entities to bill medicare on her behalf.
| Entity Name | Child And Family Psychological Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912987181
PECOS PAC ID: 5991763823
Enrollment ID: O20041227000004 |
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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. Miss Lisa Nutter 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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Miss Lisa Nutter, RN/PC
36 Phoebe Ave,
Lowell, MA 01854-2409
Ph: (978) 459-8836 | Miss Lisa Nutter, RN/PC
12 Alfred St, Suite 200,
Woburn, MA 01801-1972
Ph: (781) 646-0500 |
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