DR. LISA ALLYN MANZ DULAC MD
NPI 1871552497
Specialist in Grosse Pointe Woods, MI

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
85.22/100
CMS Quality Rating
20030 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 884-3380(313) 884-9756 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Allyn Manz Dulac Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA ALLYN MANZ DULAC MD (NPI 1871552497) is an individual specialist in Grosse Pointe Woods, Michigan, licensed in Michigan (43010053049) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1871552497
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. LISA ALLYN MANZ DULACCredential: MD
Location Address20030 MACK AVEGrosse Pointe Woods, MI 48236-2323
Mailing Address20030 Mack AveGrosse Pointe Woods, MI 48236 · (313) 884-3380 · Fax (313) 884-9756
Fax(313) 884-9756
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 22, 2006
Last NPPES UpdateJanuary 3, 2012
NPI 1871552497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · 43010053049
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20030 MACK AVE, Grosse Pointe Woods, MI 48236

Other Identifiers 3

Medicare UPINE92635MI
Medicare ID-Type Unspecified0M75680-001MI
Medicaid3491350MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Allyn Manz Dulac Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678545217
PECOS Enrollment IDI20090908000313
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,262 services275 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
634 services501 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
536 services340 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
313 services242 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
247 services205 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
117 services100 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.21
Improvement Activities40
Cost54.46

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
20030 MACK AVE
GROSSE POINTE WOODS, MI 48236
Specialist
20030 MACK AVE
GROSSE POINTE WOODS, MI 48236
Specialist
20030 MACK AVE
GROSSE POINTE WOODS, MI 48236
Dermatology (MOHS-Micrographic Surgery)
20030 MACK AVE
GROSSE POINTE WOODS, MI 48236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Manz Dulac's NPI number?

The NPI number for Lisa Manz Dulac is 1871552497. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Lisa Manz Dulac located?

Lisa Manz Dulac practices at 20030 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 884-3380.

What is Lisa Manz Dulac's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lisa Manz Dulac enrolled in Medicare?

Yes. Lisa Manz Dulac is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Manz Dulac accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Lisa Manz Dulac as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Manz Dulac affiliated with any hospitals?

According to CMS data, Lisa Manz Dulac is affiliated with Beaumont Hospital - Grosse Pointe.

When was this NPI record last updated?

The NPPES record for Lisa Manz Dulac was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.