LISSETTE CHAO (P.A.) – Physician Assistant, NPI 1902975220
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for LISSETTE CHAO (P.A.)
300A FAUNCE CORNER RD.
N. DARTMOUTH, MA 02747
Phone: (508) 973-1100
Fax: (508) 973-1105
Type: Location
1800 Harrison St Fl 7
Oakland, CA 946123466
Phone: (510) 625-2856
Fax: (877) 738-4262
Type: Location
1800 HARRISON ST FL 7
OAKLAND, CA 946123466
Phone: (510) 625-2856
Fax: (877) 738-4262
Type: Mailing
300A FAUNCE CORNER RD
N DARTMOUTH, MA 027471280
Phone: (508) 973-1100
Fax: (508) 973-1105
Type: Location
200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States
SUITE 180
FAIRHAVEN, MA 02719
Phone: (508) 973-2000
Fax: (508) 973-2001
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180507002299 | I | Physician Assistant | CA | TBD |
| I20251223001001 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02747)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | TX | |
| Physical Therapist In Private Practice | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| - | NY | |
| - | NY |
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