Mrs Lisa Michele Rosborough, NP in Minnetonka, MN

Mrs Lisa Michele Rosborough, NP is a medicare enrolled "Nurse Practitioner - Family" in Minnetonka, Minnesota. Her current practice location is 9900 Bren Rd E, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (912) 663-3586.

Mrs Lisa Michele Rosborough is licensed to practice in Oregon (license number 201350102NP) 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 1790928489.

Contact Information

	Mrs Lisa Michele Rosborough, NP
	9900 Bren Rd E, Minnetonka, MN 55343-9664
	(912) 663-3586
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Michele Rosborough
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9900 Bren Rd E, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790928489
Provider Enumeration Date: 04/11/2009
Last Update Date: 07/28/2020

Medicare PECOS Information:

PECOS PAC ID: 6305980640
Enrollment ID: I20220520002385

Medical Identifiers

Medical identifiers for Mrs Lisa Michele Rosborough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790928489	NPI	-	NPPES
202I507764	Other	GA	MEDICARE
754611424A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN156565 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	201350102NP (Oregon)	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 Michele Rosborough allows following entities to bill medicare on her behalf.

Entity Name	Bristol Advanced Illness Management - Oregon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083364749 PECOS PAC ID: 9335526060 Enrollment ID: O20220518000244

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 Michele Rosborough 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 Michele Rosborough, NP 78763 Rat Creek Rd, Cottage Grove, OR 97424-9421 Ph: (541) 942-6475	Mrs Lisa Michele Rosborough, NP 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (912) 663-3586

Reviews and Comments

Nurse Practitioner Nurses in Minnetonka, MN

Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249

Mrs Lisa Michele Rosborough, NP - Medicare Nurse Practitioner in Minnetonka, MN