Dr Matthew Ross Lisenby, DMD - Medicare Dentist in Carson City, NV

Dr Matthew Ross Lisenby, DMD is a medicare enrolled "Dentist - General Practice" provider in Carson City, Nevada. His current practice location is 1457 S Carson St Ste 101, Carson City, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 372-9898.

Dr Matthew Ross Lisenby is licensed to practice in Nevada (license number 7249) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992367338.

Contact Information

Dr Matthew Ross Lisenby, DMD
1457 S Carson St Ste 101,
Carson City, NV 89701-5240
(775) 372-9898
Not Available



Healthcare Provider's Profile

Full NameDr Matthew Ross Lisenby
GenderMale
SpecialityDentist - General Practice
Location1457 S Carson St Ste 101, Carson City, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992367338
  • Provider Enumeration Date: 07/06/2019
  • Last Update Date: 05/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294065017
  • Enrollment ID: I20190920002795

Medical Identifiers

Medical identifiers for Dr Matthew Ross Lisenby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992367338NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 7249 (Nevada)Secondary
1223G0001XDentist - General Practice 7249 (Nevada)Primary

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 Matthew Ross Lisenby 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 AddressPractice Location Address
Dr Matthew Ross Lisenby, DMD
9241 Evergreen Canyon Dr,
Las Vegas, NV 89134-6063

Ph: () -
Dr Matthew Ross Lisenby, DMD
1457 S Carson St Ste 101,
Carson City, NV 89701-5240

Ph: (775) 372-9898

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› Verified 4 days ago


Dentist in Carson City, NV

Dr. Justine Stacey Wong, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 917 Mountain Street, Carson City, NV 89703
Phone: 775-888-6887    
Elizabeth Park, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 501 S Division St, Carson City, NV 89703
Phone: 775-882-1195    Fax: 775-882-3037
Iman Nilforushan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 956 Topsy Ln Ste 103, Carson City, NV 89705
Phone: 775-391-8797    
Christopher N. Lingard, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2874 N Carson St Ste 230, Carson City, NV 89706
Phone: 775-884-2111    Fax: 775-884-2115
Dr. William J Holmes, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 525 W Washington St, Carson City, NV 89703
Phone: 775-882-4247    Fax: 775-882-8584
Dr. Justine Fong Dupanovic, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 N Nevada St, Carson City, NV 89703
Phone: 775-882-2290    
Dr. Jared Thomas Buck, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1177 N Division St, Suite #1, Carson City, NV 89703
Phone: 775-883-3434    Fax: 775-885-9985

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