Lisa Anne Bannister, - Medicare Nurse Practitioner in Joliet, IL

Lisa Anne Bannister, is a medicare enrolled "Nurse Practitioner - Women's Health" in Joliet, Illinois. Her current practice location is 2400 Glenwood Ave Ste 210, Joliet, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 473-8737.

Lisa Anne Bannister is licensed to practice in Illinois (license number 209.026405) 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 1033825419.

Contact Information

Lisa Anne Bannister,
2400 Glenwood Ave Ste 210,
Joliet, IL 60435-5498
(630) 473-8737
Not Available



Provider's Profile

Full NameLisa Anne Bannister
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location2400 Glenwood Ave Ste 210, Joliet, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033825419
  • Provider Enumeration Date: 01/27/2023
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890169908
  • Enrollment ID: I20230313000679

Medical Identifiers

Medical identifiers for Lisa Anne Bannister such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033825419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 209.026405 (Illinois)Primary
163W00000XRegistered Nurse 041.360286 (Illinois)Secondary

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. Lisa Anne Bannister 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
Lisa Anne Bannister,
818 N Broad St,
Griffith, IN 46319-2231

Ph: (219) 746-0764
Lisa Anne Bannister,
2400 Glenwood Ave Ste 210,
Joliet, IL 60435-5498

Ph: (630) 473-8737

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Nurse Practitioner Nurses in Joliet, IL

Tasha Dawn Horsley, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1541 Riverboat Center Dr, Joliet, IL 60431
Phone: 815-409-4930    Fax: 815-741-3263
Sherri L Albert, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Glenwood Ave, Joliet, IL 60435
Phone: 815-999-3201    Fax: 815-741-6293
Mrs. Theresa Donley, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Black Rd, Joliet, IL 60435
Phone: 815-823-8164    
Dolly Osas Agba, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1106 Neal Ave, Joliet, IL 60433
Phone: 815-727-8670    Fax: 815-740-8149
Danielle Marie Ratazak, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2025 S Chicago St, Joliet, IL 60436
Phone: 815-634-0100    
Stacey Rogers,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2319 Manhattan Rd, Joliet, IL 60433
Phone: 708-223-2698    
Maureen Ann Gorszczyk, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 250 Water Stone Cir, Joliet, IL 60431
Phone: 815-740-4104    

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