Dr Lisa D Blankenship, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Mountain Home, Tennessee. Her current practice location is
Dogwood Ave, Vamc, Mountain Home, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 926-1171.
Dr Lisa D Blankenship is licensed to practice in North Carolina (license number 200100642) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356432744.
Physician's Profile
| Full Name | Dr Lisa D Blankenship |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | Dogwood Ave, Mountain Home, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356432744
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 09/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 3173716628
- Enrollment ID: I20160216002200
Medical Identifiers
Medical identifiers for Dr Lisa D Blankenship such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356432744 | NPI | - | NPPES |
| 89129E9 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 200100642 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa D Blankenship is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lisa D Blankenship, MD
Po Box 4000 (117), Pm&rs,
Mountain Home, TN 37684
Ph: (423) 926-1171 | Dr Lisa D Blankenship, MD
Dogwood Ave, Vamc,
Mountain Home, TN 63684
Ph: (423) 926-1171 |
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