Lisa Michelle Bean, M.D.
Individual provider Active NPI Gynecologic Oncology Physician · Calexico, CA
NPI 1760782817 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1760782817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecologic Oncology Physician 207VX0201X
- License
- A125372 (CA)
- Practice address
- 223 W Cole Blvd
Calexico, CA 92231-9722 - Phone
- (760) 357-2020
- Fax
- (760) 357-1056
- NPI assigned
- Oct 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- West Virginia University School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Clinicas de Salud del Pueblo Inc
Practice addresses (Care Compare)
223 W Cole Blvd
Calexico, CA 92231-9722
Phone (760) 357-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.25 of 100
- Quality
- 100
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131231001042 | CA | Practitioner - Obstetrics/Gynecology | 5092943787 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108952 | FL | MD | Obstetrics & Gynecology Physician |
| TRN14227 | FL | MD | Obstetrics & Gynecology Physician |
| A125372 | CA | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo, Inc | Current |
Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo Inc. | Current |
Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc. | Past | Accepting new patients |
Locations
223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020
852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257
Interoperability endpoints
- lisa.bean.p1@direct.cdsdp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME108952 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | TRN14227 | FL | |
| Gynecologic Oncology Physician | 207VX0201X | A125372 | CA | Yes |
Addresses
Primary practice location
223 W Cole Blvd
Calexico, CA 92231-9722
Mailing address
5654 Leesway Blvd
Pensacola, FL 32504-7726
Phone (540) 325-2458
Other providers in Calexico, CA
- Julio Ayon
- Jin Nam Baek
- Karen Bailon Salas
- Ivanna Estefania Barcelo Sandoval
- Damian Bazan
- Nashallah Iesha Bell
- Bio-Medical Applications of California, Inc.
- John E Bohm
- Dustin Lee Bonham
- David R. Boniface
All providers in Calexico, CA · Gynecologic Oncology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.