Ms Lisa D Raderstorf, PA-C - Medicare Physician Assistant in Granger, IN

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Ms Lisa D Raderstorf, PA-C is a medicare enrolled "Physician Assistant" in Granger, Indiana. Her current practice location is 52500 Fir Rd, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 271-0700.

Ms Lisa D Raderstorf is licensed to practice in Michigan (license number 5601006281) 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 1245421031.

Contact Information

Ms Lisa D Raderstorf, PA-C
52500 Fir Rd,
Granger, IN 46530-8579
(574) 271-0700
Not Available

Map and Direction




Provider's Profile

Full NameMs Lisa D Raderstorf
GenderFemale
SpecialityPhysician Assistant
Location52500 Fir Rd, Granger, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245421031
  • Provider Enumeration Date: 08/06/2007
  • Last Update Date: 07/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688766587
  • Enrollment ID: I20120611000446

Medical Identifiers

Medical identifiers for Ms Lisa D Raderstorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245421031NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601006281 (Michigan)Primary

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. Ms Lisa D Raderstorf 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 AddressPractice Location Address
Ms Lisa D Raderstorf, PA-C
211 N Eddy St,
South Bend, IN 46617-3096

Ph: (574) 234-8161		Ms Lisa D Raderstorf, PA-C
52500 Fir Rd,
Granger, IN 46530-8579

Ph: (574) 271-0700

Reviews and Comments


Physician Assistant Nurses in Granger, IN

Erinn C Fuller, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3221 Beacon Parkway, Granger, IN 46530
Phone: 574-647-1670    Fax: 574-647-6927
Danielle Brown, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12340 Bittersweet Commons Blvd W, Granger, IN 46530
Phone: 574-271-8610    Fax: 574-271-8620

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.