Individual ProviderLisa PuglisiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, Yale-New Haven Hospital, New Haven, CT 06510(203) 688-5555PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Puglisi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1518191667Provider TypeIndividualFull NamePuglisi, LisaCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date5/5/2009Last Updated7/21/2022Contact InformationPractice LocationPractice Address20 York St, Yale-New Haven Hospital, New Haven, CT 06510Phone(203) 688-5555Fax(203) 688-4516Mailing LocationMailing Address333 Cedar St, P.O. Box 208030, New Haven, CT 06520Phone(203) 688-5555Fax(203) 688-4516Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense050755ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID004217099DescriptionMedicaidIssuerUnlistedConnecticutID008041410DescriptionMedicaidIssuerUnlistedConnecticutID008068298DescriptionMedicaidIssuerUnlistedConnecticutID008056033DescriptionMedicaidIssuerUnlistedConnecticutID008056168DescriptionMedicaidIssuerUnlistedConnecticut