Lisa Ann Waldroup, is a
Non-emergency Medical Transport (van) based in Flossmoor, Illinois. Lisa Ann Waldroup is licensed to practice in Illinois (license number 07483562) and her current practice location is
1633 Tina Ln, Flossmoor, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 922-1344.
NPI number for Lisa Ann Waldroup is 1184188005 and her current mailing address is 1633 Tina Ln, Flossmoor, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184188005.
Provider's Profile
Full Name | Lisa Ann Waldroup |
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Gender | Female |
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Speciality | Non-emergency Medical Transport (van) |
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Location | 1633 Tina Ln, Flossmoor, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184188005
- Provider Enumeration Date: 01/24/2019
- Last Update Date: 01/24/2019
Medical Identifiers
Medical identifiers for Lisa Ann Waldroup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184188005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043.1161135 (Illinois) | Secondary |
343900000X | Non-emergency Medical Transport (van) | 07483562 (Illinois) | 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. Lisa Ann Waldroup is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Ann Waldroup, 1633 Tina Ln, Flossmoor, IL 60422-1952 Ph: (708) 922-1344 | Lisa Ann Waldroup, 1633 Tina Ln, Flossmoor, IL 60422-1952 Ph: (708) 922-1344 |
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