Dr Lisa Nguyen, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Grandview, Washington. Her current practice location is
1000 Wallace Way, Grandview, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 788-1702.
Dr Lisa Nguyen is licensed to practice in Washington (license number ) 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 1053055137.
Physician's Profile
| Full Name | Dr Lisa Nguyen |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1000 Wallace Way, Grandview, Washington |
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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: 1053055137
- Provider Enumeration Date: 04/25/2022
- Last Update Date: 04/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890179980
- Enrollment ID: I20220909000180
Medical Identifiers
Medical identifiers for Dr Lisa Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053055137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OL123456789 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Washington) | 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 Nguyen 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 Nguyen, DO
1000 Wallace Way,
Grandview, WA 98930-8805
Ph: (529) 788-1702 | Dr Lisa Nguyen, DO
1000 Wallace Way,
Grandview, WA 98930-8805
Ph: (509) 788-1702 |
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