Dr Lisa Jeanne Brandyberry, PHD in Concord, NC - Medicare Psychologist Provider

Dr Lisa Jeanne Brandyberry, PHD is a medicare enrolled "Psychologist" provider in Concord, North Carolina. Her current practice location is 284 Executive Park Dr, Suite 100, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 939-1100.

Dr Lisa Jeanne Brandyberry is licensed to practice in North Carolina (license number 1842) 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 1760499156.

Contact Information

	Dr Lisa Jeanne Brandyberry, PHD
	284 Executive Park Dr, Suite 100, Concord, NC 28025-1831
	(704) 939-1100
	(704) 939-1173

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Jeanne Brandyberry
Gender	Female
Speciality	Psychologist
Location	284 Executive Park Dr, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760499156
Provider Enumeration Date: 08/01/2006
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9537136627
Enrollment ID: I20040916001174

Medical Identifiers

Medical identifiers for Dr Lisa Jeanne Brandyberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760499156	NPI	-	NPPES
6000631	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1842 (North Carolina)	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. Dr Lisa Jeanne Brandyberry allows following entities to bill medicare on her behalf.

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

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. Dr Lisa Jeanne Brandyberry 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
Dr Lisa Jeanne Brandyberry, PHD 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100	Dr Lisa Jeanne Brandyberry, PHD 284 Executive Park Dr, Suite 100, Concord, NC 28025-1831 Ph: (704) 939-1100

Reviews and Comments

Psychologist in Concord, NC

Cheryl B. Masters, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025 Phone: 704-786-6521
Ms. Kimberly Aylene Kennedy, M. A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1065 Vinehaven Dr, Concord, NC 28025 Phone: 704-286-9181
Breana Lee Mcswain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Branchview Dr Ne, Concord, NC 28025 Phone: 704-780-4271
Mr. Marcus B. Davis, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Mr. Ralph Andrew Tamayo, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2324 Concord Lake Rd, Concord, NC 28025 Phone: 704-829-1343
Kim Ferguson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 380 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-403-1800
Dawn Thomas, MA, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Church St Ne, Concord, NC 28025 Phone: 704-792-0143 Fax: 704-792-0143

Dr Lisa Jeanne Brandyberry, PHD - Medicare Psychologist in Concord, NC