Mrs Lisa A Wentling, PA-C is a medicare enrolled "Family Medicine" physician in Cimarron, New Mexico. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice South Central Colfax County Special Hospital District and her current practice location is
31039 Hwy 64 # B, Cimarron, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 376-2402.
Mrs Lisa A Wentling is licensed to practice in New Mexico (license number PA2008-0063) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083885560.
Physician's Profile
| Full Name | Mrs Lisa A Wentling |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 31039 Hwy 64 # B, Cimarron, New Mexico |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lisa A Wentling graduated from medical school in 2001
NPI Data:
- NPI Number: 1083885560
- Provider Enumeration Date: 03/12/2008
- Last Update Date: 10/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406911064
- Enrollment ID: I20090213000290
Medical Identifiers
Medical identifiers for Mrs Lisa A Wentling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083885560 | NPI | - | NPPES |
| CS00214130 | Other | NM | PHARMACY |
| PA2008-0063 | Other | NM | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2008-0063 (New Mexico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | C0002467 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | PA2008-0063 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Central Colfax County Special Hospital District | 6800070707 | 4 |
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. Mrs Lisa A Wentling 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 |
|---|
Mrs Lisa A Wentling, PA-C
Po Box 625,
Cimarron, NM 87714-0625
Ph: (575) 376-2402 | Mrs Lisa A Wentling, PA-C
31039 Hwy 64 # B,
Cimarron, NM 87714-9646
Ph: (575) 376-2402 |
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