Lysandra Serrano, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Providence, RI

Lysandra Serrano, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Affinity Physicians Llc., Lifespan Physician Group Inc and her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-4000.

Lysandra Serrano is licensed to practice in Rhode Island (license number APRN03013) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669127387.

Contact Information

Lysandra Serrano, CRNA
593 Eddy St,
Providence, RI 02903-4923
(401) 444-4000
Not Available



Provider's Profile

Full NameLysandra Serrano
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience2 Years
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lysandra Serrano graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1669127387
  • Provider Enumeration Date: 02/22/2022
  • Last Update Date: 02/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456746072
  • Enrollment ID: I20220317002569

Medical Identifiers

Medical identifiers for Lysandra Serrano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669127387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN03013 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
Women & Infants Hospital Of Rhode IslandProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391619
Lifespan Physician Group Inc2567455082631

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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. Lysandra Serrano allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053782466
PECOS PAC ID: 2567455082
Enrollment ID: O20160121000235

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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. Lysandra Serrano 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
Lysandra Serrano, CRNA
4 Shadybrook Ln,
Mansfield, MA 02048-2953

Ph: (252) 259-3953
Lysandra Serrano, CRNA
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-4000

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Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Peter W Wolferseder, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Marie A Mills, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Beth Vanpraag, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Paulette Champion, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Angela Thomas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Garrick Mark Whitlock, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 401-456-2000    

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