Lise A Desjardins, FNP-C - Medicare Nurse Practitioner in Rockport, ME

Lise A Desjardins, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rockport, Maine. Her current practice location is 756 Commercial St, Rockport, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 593-5566.

Lise A Desjardins is licensed to practice in Maine (license number R026287) 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 1164643128.

Contact Information

Lise A Desjardins, FNP-C
756 Commercial St,
Rockport, ME 04856-4201
(207) 593-5566
Not Available



Provider's Profile

Full NameLise A Desjardins
GenderFemale
SpecialityNurse Practitioner - Family
Location756 Commercial St, Rockport, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164643128
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3678545886
  • Enrollment ID: I20040809000955

Medical Identifiers

Medical identifiers for Lise A Desjardins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164643128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R026287 (Maine)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. Lise A Desjardins allows following entities to bill medicare on her behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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Entity NamePenobscot Bay Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982645305
PECOS PAC ID: 2163320508
Enrollment ID: O20060316000020

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Entity NameTown Of North Haven
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306922281
PECOS PAC ID: 9436067063
Enrollment ID: O20070328000461

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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. Lise A Desjardins 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
Lise A Desjardins, FNP-C
187 Bayside W,
Owls Head, ME 04854-3432

Ph: (207) 594-1179
Lise A Desjardins, FNP-C
756 Commercial St,
Rockport, ME 04856-4201

Ph: (207) 593-5566

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› Verified 6 days ago


Nurse Practitioner Nurses in Rockport, ME

Mrs. Jennifer Anne Dreher, ANP-C, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4 Glen Cove Dr, Suite 202, Rockport, ME 04856
Phone: 207-593-5800    Fax: 207-593-5322
Charlotte M Campbell, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 756 Commercial St, Rockport, ME 04856
Phone: 207-593-5566    
Brandy Colson, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15 Anchor Dr Ste 201, Rockport, ME 04856
Phone: 207-301-5900    
Kathleen Philbrick, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Glen Cove Dr, Suite 103, Rockport, ME 04856
Phone: 207-921-5737    Fax: 207-921-5337
Michelle Edwards, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6 Glen Cove Dr, Rockport, ME 04856
Phone: 469-474-4712    
Ms. Diane Jean Batley, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 821 Commercial St, Rockport, ME 04856
Phone: 207-596-7148    
Danielle Rice, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6 Glen Cove Dr, Rockport, ME 04856
Phone: 207-301-8969    

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