| Mrs Lisa Marie Blasko, FNP-C | |
|
120 E Main St Ste B, Payson, AZ 85541-5618 | |
| (928) 472-2225 | |
| (928) 468-0002 |
| 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245646629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | TAP5705 (Arizona) | Primary |
| 163WM0705X | Registered Nurse - Medical-surgical | RN152442 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Payson Medical Center | Payson, AZ | Hospital |
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chelani Productions, Llc | 0547784746 | 4 |
| Entity Name | Chelani Productions, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417768110 PECOS PAC ID: 0547784746 Enrollment ID: O20250409002291 |
| 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 |
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 |
Jessica L Nigg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222 |
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 |
David Wood Lyons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 807 W Longhorn Rd, Payson, AZ 85541 Phone: 928-474-1120 |
Ramona T Coppelli, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259 |