Lisa S Vanderwall, CRNA in Chattanooga, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Lisa S Vanderwall, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chattanooga, Tennessee. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Watson Anesthesia Group Pllc and her current practice location is 975 E. Third Street, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 778-7608.

Lisa S Vanderwall is licensed to practice in Tennessee (license number APN16963) 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 1194073650.

Contact Information

	Lisa S Vanderwall, CRNA
	975 E. Third Street, Chattanooga, TN 37403-2147
	(423) 778-7608
	(423) 778-2360

Map and Direction

Provider's Profile

Full Name	Lisa S Vanderwall
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	975 E. Third Street, Chattanooga, Tennessee
Accepts Medicare Assignments	Yes. 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 S Vanderwall graduated from nursing school in 2012

NPI Data:

NPI Number: 1194073650
Provider Enumeration Date: 08/15/2012
Last Update Date: 11/01/2012

Medicare PECOS Information:

PECOS PAC ID: 1153572896
Enrollment ID: I20121106000603

Medical Identifiers

Medical identifiers for Lisa S Vanderwall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194073650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APN16963 (Tennessee)	Primary
163W00000X	Registered Nurse	RN161224 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rhea Medical Center	Dayton, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Watson Anesthesia Group Pllc	8123270154	6

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 S Vanderwall allows following entities to bill medicare on her behalf.

Entity Name	Anesthesiology Consultants Exchange, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184670218 PECOS PAC ID: 2365434297 Enrollment ID: O20040331001631

Entity Name	Watson Anesthesia Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548513278 PECOS PAC ID: 8123270154 Enrollment ID: O20121220000150

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 S Vanderwall 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
Lisa S Vanderwall, CRNA Po Box 11225, Chattanooga, TN 37401-2225 Ph: (423) 892-5602	Lisa S Vanderwall, CRNA 975 E. Third Street, Chattanooga, TN 37403-2147 Ph: (423) 778-7608

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Chattanooga, TN

Megan A Spears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401
Mr. Edward Brian Hallock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401
Mr. Glen Roland Horne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-206-5040
Amy T. Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355
Eun Hyea Godbold, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-495-2525
Christina Michelle Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C235, Chattanooga, TN 37403 Phone: 423-602-8400
Mrs. Julie D Baggett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355

Lisa S Vanderwall, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Chattanooga, TN