Lisa Michelle Matiaco, PA-C is a medicare enrolled "Physician Assistant" in Republic, Washington. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Optimal Health Of Southern Oregon, Llc and her current practice location is
10 Ros Cir, Republic, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 775-3153.
Lisa Michelle Matiaco is licensed to practice in * (Not Available) (license number ) 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 1154500536.
Provider's Profile
| Full Name | Lisa Michelle Matiaco |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 10 Ros Cir, Republic, Washington |
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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:
- Lisa Michelle Matiaco graduated from nursing school in 2007
NPI Data:
- NPI Number: 1154500536
- Provider Enumeration Date: 11/01/2007
- Last Update Date: 03/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274698790
- Enrollment ID: I20140707000389
Medical Identifiers
Medical identifiers for Lisa Michelle Matiaco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154500536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Optimal Health Of Southern Oregon, Llc | 7416238241 | 2 |
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 Michelle Matiaco 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 Michelle Matiaco, PA-C
10 Ros Cir,
Republic, WA 99166-5002
Ph: (509) 775-3153 | Lisa Michelle Matiaco, PA-C
10 Ros Cir,
Republic, WA 99166-5002
Ph: (509) 775-3153 |
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