Lisa Cossaboon, - Medicare Nurse Practitioner in Bridgeton, NJ

Lisa Cossaboon, is a medicare enrolled "Nurse Practitioner - Family" in Bridgeton, New Jersey. Her current practice location is 201 Laurel Heights Dr, Bridgeton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 455-4800.

Lisa Cossaboon is licensed to practice in New Jersey (license number 26NJ01294300) 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 1437892981.

Contact Information

Lisa Cossaboon,
201 Laurel Heights Dr,
Bridgeton, NJ 08302-3635
(856) 455-4800
Not Available



Provider's Profile

Full NameLisa Cossaboon
GenderFemale
SpecialityNurse Practitioner - Family
Location201 Laurel Heights Dr, Bridgeton, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437892981
  • Provider Enumeration Date: 04/13/2022
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082082045
  • Enrollment ID: I20221122002320

Medical Identifiers

Medical identifiers for Lisa Cossaboon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437892981NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01294300 (New Jersey)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. Lisa Cossaboon allows following entities to bill medicare on her behalf.
Entity NameInternal Medicine Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801826565
PECOS PAC ID: 6305735549
Enrollment ID: O20040315000354

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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 Cossaboon 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 Cossaboon,
173 Landing Rd,
Newport, NJ 08345-2022

Ph: (856) 297-7775
Lisa Cossaboon,
201 Laurel Heights Dr,
Bridgeton, NJ 08302-3635

Ph: (856) 455-4800

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Nurse Practitioner Nurses in Bridgeton, NJ

Diane M Burt, RN, MSN, APN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 265 Irving Ave, Bridgeton, NJ 08302
Phone: 856-451-4700    Fax: 856-453-8495
Halyna Yurchak, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Laurel Heights Dr, Bridgeton, NJ 08302
Phone: 856-455-4800    Fax: 856-541-0650
Ms. Karen Lynn Kushner, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 133 Polk Ln, Bridgeton, NJ 08302
Phone: 856-455-7576    Fax: 856-455-2412
Ms. Lisa Renee Mills, RNNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 215 S Burlington Rd, Bridgeton, NJ 08302
Phone: 856-459-8237    
Mrs. Melody D Randle, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 53 S. Laurel Street 2nd Floor, Bridgeton, NJ 08302
Phone: 302-327-6567    
Svetlana Babenko, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Laurel Heights Dr, Bridgeton, NJ 08302
Phone: 856-455-4800    

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