Ms Lisa Everett, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clyde, New York. 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 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 1578915278.
Provider's Profile
| Full Name | Ms Lisa Everett |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4 W Genesee St, Clyde, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
|---|
| 1578915278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 339831 (New York) | 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. 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 |
|---|
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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