Mrs Lisa Ruth Mclean, PA-C in Allen Park, MI - Medicare Physician Assistant

Mrs Lisa Ruth Mclean, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Allen Park, Michigan. Her current practice location is 17500 Federal Dr Ste 750, Allen Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 982-1370.

Mrs Lisa Ruth Mclean is licensed to practice in Michigan (license number 5601008938) 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 1114476140.

Contact Information

	Mrs Lisa Ruth Mclean, PA-C
	17500 Federal Dr Ste 750, Allen Park, MI 48101-3656
	(313) 982-1370
	(313) 982-1376

Physician's Profile

Full Name	Mrs Lisa Ruth Mclean
Gender	Female
Speciality	Physician Assistant - Medical
Location	17500 Federal Dr Ste 750, Allen Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114476140
Provider Enumeration Date: 10/03/2016
Last Update Date: 04/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1153607395
Enrollment ID: I20170424001796

Medical Identifiers

Medical identifiers for Mrs Lisa Ruth Mclean such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114476140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	5601008938 (Michigan)	Secondary
363AM0700X	Physician Assistant - Medical	PA53731 (California)	Secondary
363AM0700X	Physician Assistant - Medical	5601008938 (Michigan)	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. Mrs Lisa Ruth Mclean 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
Mrs Lisa Ruth Mclean, PA-C 17500 Federal Dr Ste 750, Allen Park, MI 48101-3656 Ph: (313) 982-1370	Mrs Lisa Ruth Mclean, PA-C 17500 Federal Dr Ste 750, Allen Park, MI 48101-3656 Ph: (313) 982-1370

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Mrs Lisa Ruth Mclean, PA-C - Medicare Physician Assistant in Allen Park, MI