Lisa Marie Wooten, APRN - Medicare Nurse Practitioner in Louisville, KY

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Lisa Marie Wooten, APRN is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Louisville Physicians Inc and her current practice location is 4402 Churchman Ave Ste 201, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 416-0207.

Lisa Marie Wooten is licensed to practice in Kentucky (license number 3007613) 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 1033469366.

Contact Information

Lisa Marie Wooten, APRN
4402 Churchman Ave Ste 201,
Louisville, KY 40215-3100
(502) 416-0207
Not Available

Map and Direction




Provider's Profile

Full NameLisa Marie Wooten
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location4402 Churchman Ave Ste 201, Louisville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Marie Wooten graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1033469366
  • Provider Enumeration Date: 09/13/2012
  • Last Update Date: 05/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547411761
  • Enrollment ID: I20121117000102

Medical Identifiers

Medical identifiers for Lisa Marie Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033469366NPI-NPPES
7100218830MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3007613 (Kentucky)Primary
363LA2200XNurse Practitioner - Adult Health 3007613 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Louisville Physicians Inc34767255991111

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 Marie Wooten allows following entities to bill medicare on her behalf.
Entity NameAssociates In Gastroenterology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932439064
PECOS PAC ID: 5597950162
Enrollment ID: O20101109000313
Entity NameUniversity Of Louisville Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036
Entity NameGastroenterology Health Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982963872
PECOS PAC ID: 0840443636
Enrollment ID: O20130111000012
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210209002652

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 Marie Wooten 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 AddressPractice Location Address
Lisa Marie Wooten, APRN
Po Box 909,
Louisville, KY 40201-0909

Ph: (502) 416-0207		Lisa Marie Wooten, APRN
4402 Churchman Ave Ste 201,
Louisville, KY 40215-3100

Ph: (502) 416-0207

Reviews and Comments


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Tricia L. Flake, ARNP
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Aimee Christine Mihalyov, APRN
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Amanda Danielle Saccone, APRN
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Celaida Lezcano,
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Victoria Jean Shipman, APRN
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Phone: 502-629-2500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.