Lisa Gayle Warren, NP is a medicare enrolled "Nurse Practitioner - Family" in Quemado, Texas. Her current practice location is
16892 N Highway 277, Quemado, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 771-2208.
Lisa Gayle Warren is licensed to practice in Texas (license number 1033285) 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 1881363018.
Provider's Profile
| Full Name | Lisa Gayle Warren |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 16892 N Highway 277, Quemado, Texas |
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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: 1881363018
- Provider Enumeration Date: 09/10/2021
- Last Update Date: 09/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082068887
- Enrollment ID: I20230927004058
Medical Identifiers
Medical identifiers for Lisa Gayle Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881363018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1033285 (Texas) | 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 Gayle Warren allows following entities to bill medicare on her behalf.
| Entity Name | Coolmed Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316413438
PECOS PAC ID: 6406190867
Enrollment ID: O20181212000642 |
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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 Gayle 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 |
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Lisa Gayle Warren, NP
16892 N Highway 277,
Quemado, TX 78877-7741
Ph: (210) 771-2208 | Lisa Gayle Warren, NP
16892 N Highway 277,
Quemado, TX 78877-7741
Ph: (210) 771-2208 |
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