Mrs Lisa Jane Carpenter, PAC - Medicare Physician Assistant in Fort Mohave, AZ

  1. Home
  2. Physician Assistant
  3. AZ
  4. Fort Mohave
Mrs Lisa Jane Carpenter, PAC is a medicare enrolled "Physician Assistant" in Fort Mohave, Arizona. Her current practice location is 1611 Joy Ln, Fort Mohave, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 788-1900.

Mrs Lisa Jane Carpenter is licensed to practice in Arizona (license number AZ1831) 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 1639126063.

Contact Information

Mrs Lisa Jane Carpenter, PAC
1611 Joy Ln,
Fort Mohave, AZ 86426-8807
(928) 788-1900
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lisa Jane Carpenter
GenderFemale
SpecialityPhysician Assistant
Location1611 Joy Ln, Fort Mohave, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639126063
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 09/24/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658471172
  • Enrollment ID: I20070713000132

Medical Identifiers

Medical identifiers for Mrs Lisa Jane Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639126063NPI-NPPES
1831OtherAZSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant AZ1831 (Arizona)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. Mrs Lisa Jane Carpenter allows following entities to bill medicare on her behalf.
Entity NameMohave Family Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043369168
PECOS PAC ID: 2860575941
Enrollment ID: O20080213000100
Entity NameMmg LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811614225
PECOS PAC ID: 5991039489
Enrollment ID: O20230421000891

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. Mrs Lisa Jane Carpenter 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
Mrs Lisa Jane Carpenter, PAC
2176 Via Del Aqua Cv,
Bullhead City, AZ 86426-6761

Ph: (928) 768-2426		Mrs Lisa Jane Carpenter, PAC
1611 Joy Ln,
Fort Mohave, AZ 86426-8807

Ph: (928) 788-1900

Reviews and Comments


Physician Assistant Nurses in Fort Mohave, AZ

Patrick L Ballou, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426
Phone: 928-788-7065    
Nathan John Ethridge, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426
Phone: 928-788-2273    
Kayla Barnett, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1520 E Hammer Ln Ste 102, Fort Mohave, AZ 86426
Phone: 928-963-9191    

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.