Dr Lisa Warren, DO in Pomona, CA - Medicare Pediatrics

Dr Lisa Warren, DO is a medicare enrolled "Pediatrics" physician in Pomona, California. Her current practice location is 795 E. Second Street, Suite 5, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 865-2565.

Dr Lisa Warren is licensed to practice in California (license number 20A11796) 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 1124080544.

Contact Information

	Dr Lisa Warren, DO
	795 E. Second Street, Suite 5, Pomona, CA 91766-2007
	(909) 865-2565
	(909) 865-2599

Map and Direction

Physician's Profile

Full Name	Dr Lisa Warren
Gender	Female
Speciality	Pediatrics
Location	795 E. Second Street, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124080544
Provider Enumeration Date: 04/03/2006
Last Update Date: 11/17/2011

Medicare PECOS Information:

PECOS PAC ID: 5395724603
Enrollment ID: I20111101000230

Medical Identifiers

Medical identifiers for Dr Lisa Warren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124080544	NPI	-	NPPES
1656936-01	Other	TX	CSHCN
1656936-01	Medicaid	TX
20A11796	Other	CA	CA STATE LIC
8M1115	Other	TX	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	L7596 (Texas)	Secondary
208000000X	Pediatrics	20A11796 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lisa Warren allows following entities to bill medicare on her behalf.

Entity Name	Western University Of Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679515217 PECOS PAC ID: 0648208991 Enrollment ID: O20050728000981

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 Warren 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 Warren, DO 795 E. Second Street, Suite 5, Pomona, CA 91766-2007 Ph: (909) 865-2565	Dr Lisa Warren, DO 795 E. Second Street, Suite 5, Pomona, CA 91766-2007 Ph: (909) 865-2565

Reviews and Comments

Pediatrics Doctors in Pomona, CA

Dr. James T. Warren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W Bonita Ave, #200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688
Dr. Juanita Alice Kagwa-nyanzi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 W Willow St, Ste B, Pomona, CA 91768 Phone: 909-865-5519 Fax: 909-865-5771
Grace Hoang-oanh Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1532 San Bernardino Ave Ste B7, Pomona, CA 91767 Phone: 909-301-4041 Fax: 909-301-4042
Gloria Ha Phuoc Chung, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 E Holt Ave, Suite G, Pomona, CA 91767 Phone: 909-632-0895
Ericka Y Hong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W. Bonita Ave, Suite 200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688
Elhamy Fawzy Khalil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3530 West Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221

Dr Lisa Warren, DO - Medicare Pediatrics in Pomona, CA