Ms Lisa Everett, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clyde, New York. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urban Family Practice Pc and her current practice location is
4 W Genesee St, Clyde Family Health Center, Clyde, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 923-3640.
Ms Lisa Everett is licensed to practice in New York (license number 339831) 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 1578915278.
Provider's Profile
| Full Name | Ms Lisa Everett |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 4 W Genesee St, Clyde, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lisa Everett graduated from nursing school in 2015
NPI Data:
- NPI Number: 1578915278
- Provider Enumeration Date: 07/06/2016
- Last Update Date: 07/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 9032407002
- Enrollment ID: I20161006000447
Medical Identifiers
Medical identifiers for Ms Lisa Everett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578915278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 339831 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Urban Family Practice Pc | 7517935059 | 7 |
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. Ms Lisa Everett allows following entities to bill medicare on her behalf.
| Entity Name | Rochester General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644 |
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| Entity Name | Clifton Springs Sanitarium Co |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366505463
PECOS PAC ID: 5092704809
Enrollment ID: O20040525000569 |
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| Entity Name | Urban Family Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164594099
PECOS PAC ID: 7517935059
Enrollment ID: O20040922000333 |
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| Entity Name | Geneva General Hospital, Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1215194501
PECOS PAC ID: 7810809407
Enrollment ID: O20080728000487 |
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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. Ms Lisa Everett 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 |
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Ms Lisa Everett, FNP
4 W Genesee St, Clyde Family Health Center,
Clyde, NY 14433-1126
Ph: (315) 923-3640 | Ms Lisa Everett, FNP
4 W Genesee St, Clyde Family Health Center,
Clyde, NY 14433-1126
Ph: (315) 923-3640 |
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