Dr Jack S Lissauer, MD - Internal Medicine in Beachwood, OH

Dr Jack S Lissauer, MD is a Internal Medicine - Gastroenterology physician based in Beachwood, Ohio. Dr Jack S Lissauer is licensed to practice in Ohio (license number 35038212L) and his current practice location is 3700 Park East Dr, Suite 100, Beachwood, Ohio. He can be reached at his office (for appointments etc.) via phone at (216) 593-7700.

NPI number for Dr Jack S Lissauer is 1720087356 and his current mailing address is 3700 Park East Dr, Suite 100, Beachwood, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720087356.

Contact Information

Dr Jack S Lissauer, MD
3700 Park East Dr, Suite 100,
Beachwood, OH 44122-4339
(216) 593-7700
(216) 593-7190



Physician's Profile

Full NameDr Jack S Lissauer
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location3700 Park East Dr, Beachwood, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720087356
  • Provider Enumeration Date: 07/15/2005
  • Last Update Date: 10/24/2007

Medical Identifiers

Medical identifiers for Dr Jack S Lissauer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720087356NPI-NPPES
000000127021OtherOHANTHEM BCBS & ANTHEM SR
000000127021OtherOHONE NATION BENEFIT ADMIN.
5089882001OtherOHCIGNA
000000127021OtherOHOHIO OPERATING ENGINEERS
4079026OtherOHAETNA
603650OtherOHUNITED HEALTHCARE
0307699MedicaidOH
P1482889OtherOHOXFORD INSURANCE
R38212OtherOHAPEX & SUMMACARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 35038212L (Ohio)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 Jack S Lissauer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack S Lissauer, MD
3700 Park East Dr, Suite 100,
Beachwood, OH 44122-4339

Ph: (216) 593-7700
Dr Jack S Lissauer, MD
3700 Park East Dr, Suite 100,
Beachwood, OH 44122-4339

Ph: (216) 593-7700

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Internal Medicine Doctors in Beachwood, OH

Lisa E Meek, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3737 Park East Dr Ste 109, Beachwood, OH 44122
Phone: 216-464-7333    Fax: 216-464-2696
Mark N Rakowsky, DO
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 4110 Warrensville Center Rd, Beachwood, OH 44122
Phone: 216-491-6000    
Dr. Raja Shekar, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3609 Park East Dr, 207, Beachwood, OH 44122
Phone: 216-360-0456    Fax: 216-360-9449
Dr. Cynthia Gustaferro, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 3609 Park East Dr, 207, Beachwood, OH 44122
Phone: 216-360-0456    Fax: 216-360-9449
Scott L Massien, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Auburn Dr # 110, Beachwood, OH 44122
Phone: 216-285-5050    Fax: 216-285-4044
William Michael Wolf, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3999 Richmond Rd, Harrington Heart And Vascular Institute, Beachwood, OH 44122
Phone: 216-593-1303    Fax: 216-593-1301
Dr. Prateek Mendiratta, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 26900 Cedar Rd, 330-s, Beachwood, OH 44122
Phone: 216-839-2990    Fax: 216-839-2975

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