Mrs Lisa Marie Blasko, FNP-C in Payson, AZ - Medicare Nurse Practitioner

Mrs Lisa Marie Blasko, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Payson, Arizona. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chelani Productions, Llc and her current practice location is 120 E Main St Ste B, Payson, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 472-2225.

Mrs Lisa Marie Blasko is licensed to practice in Arizona (license number TAP5705) 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 1245646629.

Contact Information

	Mrs Lisa Marie Blasko, FNP-C
	120 E Main St Ste B, Payson, AZ 85541-5618
	(928) 472-2225
	(928) 468-0002

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Marie Blasko
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	120 E Main St Ste B, Payson, Arizona
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:

Mrs Lisa Marie Blasko graduated from nursing school in 2012

NPI Data:

NPI Number: 1245646629
Provider Enumeration Date: 07/07/2014
Last Update Date: 04/29/2026

Medicare PECOS Information:

PECOS PAC ID: 9638390453
Enrollment ID: I20141021000523

Medical Identifiers

Medical identifiers for Mrs Lisa Marie Blasko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245646629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	TAP5705 (Arizona)	Primary
163WM0705X	Registered Nurse - Medical-surgical	RN152442 (Arizona)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Payson Medical Center	Payson, AZ	Hospital
Western Arizona Regional Medical Center	Bullhead city, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chelani Productions, Llc	0547784746	5

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 Marie Blasko allows following entities to bill medicare on her behalf.

Entity Name	North Country Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107

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 Marie Blasko 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
Mrs Lisa Marie Blasko, FNP-C 113 E Brown Rd, Star Valley, AZ 85541-6561 Ph: (928) 472-2225	Mrs Lisa Marie Blasko, FNP-C 120 E Main St Ste B, Payson, AZ 85541-5618 Ph: (928) 472-2225

Reviews and Comments

Nurse Practitioner Nurses in Payson, AZ

Tara Gann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 W Main St Ste B, Payson, AZ 85541 Phone: 928-472-6000 Fax: 844-752-8246
Rachel Denise Armstrong, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Payson, AZ 85541 Phone: 928-474-9399 Fax: 928-474-9831
Christy Rene Carner, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 W Pinecone Cir, Payson, AZ 85541 Phone: 602-989-0362
Jessica L Balcom, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222
Ramona T Coppelli, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259
Suzanne Lea Morse, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 E State Highway 260 Ste B1, Payson, AZ 85541 Phone: 928-474-2234 Fax: 928-474-4056

Mrs Lisa Marie Blasko, FNP-C - Medicare Nurse Practitioner in Payson, AZ