Mrs Lisa Marie Jin, PA is a medicare enrolled "Military Health Care Provider" in Tacoma, Washington. Her current practice location is
9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 968-2252.
Mrs Lisa Marie Jin is licensed to practice in * (Not Available) (license number ) 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 1124343272.
Provider's Profile
Full Name | Mrs Lisa Marie Jin |
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Gender | Female |
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Speciality | Military Health Care Provider |
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Location | 9040 Jackson Ave, Tacoma, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124343272
- Provider Enumeration Date: 04/01/2010
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446580336
- Enrollment ID: I20190918003276
Medical Identifiers
Medical identifiers for Mrs Lisa Marie Jin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124343272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | 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. Mrs Lisa Marie Jin 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 Marie Jin, PA 207 Lumpkin St, Fort Moore, GA 31905-6548 Ph: (254) 226-0826 | Mrs Lisa Marie Jin, PA 9040 Jackson Ave, Tacoma, WA 98431-2705 Ph: (253) 968-2252 |
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