Lisa Katheryn Washburn, MD in Winston-salem, NC

Lisa Katheryn Washburn, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Winston-salem, North Carolina. Her current practice location is Medical Center Blvd, Winston-salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Lisa Katheryn Washburn is licensed to practice in North Carolina (license number 36613) 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 1609850684.

Contact Information

	Lisa Katheryn Washburn, MD
	Medical Center Blvd, Winston-salem, NC 27157
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Katheryn Washburn
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	Medical Center Blvd, Winston-salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609850684
Provider Enumeration Date: 12/02/2005
Last Update Date: 12/09/2008

Medicare PECOS Information:

PECOS PAC ID: 8022178136
Enrollment ID: I20081119000596

Medical Identifiers

Medical identifiers for Lisa Katheryn Washburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609850684	NPI	-	NPPES
1291T	Other		BCBS
43973	Other		PARTNERS
891291T	Medicaid	NC
7576302	Other		AETNA
2006796000	Medicaid	WV
6739041	Medicaid	VA
B1069	Other		MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	36613 (North Carolina)	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. Lisa Katheryn Washburn allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Lisa Katheryn Washburn 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
Lisa Katheryn Washburn, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255	Lisa Katheryn Washburn, MD Medical Center Blvd, Winston-salem, NC 27157 Ph: (336) 716-2255

Reviews and Comments

Pediatrics Doctors in Winston-salem, NC

Jon Stuart Abramson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255
W. Wayne Franklin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Charlois Blvd, Winston-salem, NC 27103 Phone: 336-718-1002 Fax: 336-718-1058
Marguerite T Tennille, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2808 Maplewood Ave, Winston-salem, NC 27103 Phone: 336-765-9000 Fax: 336-765-5702
Elizabeth Cobey Allen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255
Jennifer Marie Jackson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255
Dr. Sarah Nicole Cilvik, MD,PHD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Boulevard, Department Of Pediatrics, Winston-salem, NC 27157 Phone: 314-413-0567

Lisa Katheryn Washburn, MD - Medicare Pediatrics in Winston-salem, NC