Lisa Wallin, ANP-C, CWS in Rochester, NY - Medicare Nurse Practitioner

Lisa Wallin, ANP-C, CWS is a medicare enrolled "Nurse Practitioner - Adult Health" in Rochester, New York. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice U Of R Plastic Surgeons, University Of Rochester and her current practice location is 160 Sawgrass Dr Ste 130, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 262-9100.

Lisa Wallin is licensed to practice in New York (license number 302641) 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 1114933421.

Contact Information

	Lisa Wallin, ANP-C, CWS
	160 Sawgrass Dr Ste 130, Rochester, NY 14620-4655
	(585) 262-9100
	(585) 256-2046

Map and Direction

Provider's Profile

Full Name	Lisa Wallin
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	160 Sawgrass Dr Ste 130, Rochester, New York
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 Wallin graduated from nursing school in 1999

NPI Data:

NPI Number: 1114933421
Provider Enumeration Date: 07/31/2006
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 9830197243
Enrollment ID: I20061120000193

Medical Identifiers

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

Identifier	Type	State	Issuer
1114933421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WW0000X	Registered Nurse - Wound Care	30302641 (New York)	Secondary
363L00000X	Nurse Practitioner	302641 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	302641 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Strong Memorial Hospital	Rochester, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
U Of R Plastic Surgeons	5294726238	18
University Of Rochester	5799699088	793

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 Wallin allows following entities to bill medicare on her behalf.

Entity Name	University Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019

Entity Name	U Of R Plastic Surgeons
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689695710 PECOS PAC ID: 5294726238 Enrollment ID: O20071128000654

Entity Name	Trauma Burn Emergency Surgery Of The University Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881886380 PECOS PAC ID: 8921161811 Enrollment ID: O20090121000149

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 Wallin 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 Wallin, ANP-C, CWS 160 Sawgrass Dr Ste 130, Rochester, NY 14620-4655 Ph: (585) 262-9100	Lisa Wallin, ANP-C, CWS 160 Sawgrass Dr Ste 130, Rochester, NY 14620-4655 Ph: (585) 262-9100

Reviews and Comments

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Lisa Wallin, ANP-C, CWS - Medicare Nurse Practitioner in Rochester, NY