DR. LISA SULSENTI D.C.
NPI 1922391374
Chiropractor in Brick, NJ
- Individual
- Female
- Years of Experience 31
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About LISA SULSENTI
This page provides the complete NPI Profile along with additional information for Lisa Sulsenti, a provider established in Brick, New Jersey with a medical specialization in Chiropractor and more than 31 years of experience. She graduated from Life Chiropractic College in 1996. The healthcare provider is registered in the NPI registry with number 1922391374 assigned on May 2011. The practitioner's primary taxonomy code is 111N00000X with license number 38MC00514900 (NJ). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1922391374 Verify this NPI
- Provider Name
- DR. LISA SULSENTI D.C.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 74 BRICK BLVD SUITE 104 BRICK, NJ 08723
- Location Phone
- (732) 477-5888
- Location Fax
- (732) 262-1367
- Mailing Address
- 74 BRICK BLVD SUITE 104 BRICK, NJ 08723
- Mailing Phone
- (732) 477-5888
- Mailing Fax
- (732) 262-1367
- Medical School Name
- LIFE CHIROPRACTIC COLLEGE
- Graduation Year
- 1996
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-18-2011
- Last Update Date
- 05-18-2011
- Code Navigator
A chiropractor like Lisa Sulsenti helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 38MC00514900
- License State
- NJ
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lisa Sulsenti is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7416193420
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130418000071
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRICK, NJ 08723
BRICK, NJ 08723
BRICK, NJ 08723
BRICK, NJ 08723
BRICK, NJ 08723
BRICK, NJ 08723
BRICK, NJ 08723
BRICK, NJ 08723
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922391374, enumerated as an "individual" on May 18, 2011.
The provider is located at 74 BRICK BLVD SUITE 104 BRICK, NJ 08723 and the phone number is (732) 477-5888.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.