Mrs Lisa Roseberry, NP in Forest Park, GA - Medicare Nurse Practitioner

Mrs Lisa Roseberry, NP is a medicare enrolled "Nurse Practitioner - Family" in Forest Park, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peachtree Immediate Care Fp, Llc and her current practice location is 4905 Courtney Dr, Forest Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 366-3636.

Mrs Lisa Roseberry is licensed to practice in Georgia (license number RN075080) 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 1871969469.

Contact Information

	Mrs Lisa Roseberry, NP
	4905 Courtney Dr, Forest Park, GA 30297-1427
	(404) 366-3636
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Roseberry
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	4905 Courtney Dr, Forest Park, Georgia
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 Roseberry graduated from nursing school in 2015

NPI Data:

NPI Number: 1871969469
Provider Enumeration Date: 08/18/2015
Last Update Date: 04/05/2016

Medicare PECOS Information:

PECOS PAC ID: 5799031860
Enrollment ID: I20180702003356

Medical Identifiers

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

Identifier	Type	State	Issuer
1871969469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN075080 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peachtree Immediate Care Fp, Llc	3274559323	223

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 Roseberry allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

Entity Name	Eastside Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093177883 PECOS PAC ID: 7315229101 Enrollment ID: O20170201000292

Entity Name	Drynachan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20170830003418

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 Roseberry 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 Roseberry, NP 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (440) 366-3636	Mrs Lisa Roseberry, NP 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (404) 366-3636

Reviews and Comments

Nurse Practitioner Nurses in Forest Park, GA

Melva L Banks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4146 Jonesboro Rd, Forest Park, GA 30297 Phone: 470-666-4762 Fax: 770-264-5181
Antoinette Denise Palomino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808
Anya Wiedenbeck, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 455 Forest Pkwy, Forest Park, GA 30297 Phone: 678-705-0100
Diana Carmichael, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 528 Forest Pkwy Ste A, Forest Park, GA 30297 Phone: 404-968-9469 Fax: 404-968-9341
Mrs. Arleen Revely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 528 Forest Pkwy Ste A, Forest Park, GA 30297 Phone: 404-918-8118
Rosemary Thomas-cloud, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 Forest Pkwy, Forest Park, GA 30297 Phone: 404-883-2376 Fax: 404-883-2378
Ariana Bedford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636

Mrs Lisa Roseberry, NP - Medicare Nurse Practitioner in Forest Park, GA