Lisha Ryanne Porch-petitt, CNS in Tulsa, OK - Medicare Certified Clinical Nurse Specialist (cns)

Lisha Ryanne Porch-petitt, CNS is a medicare enrolled "Clinical Nurse Specialist" in Tulsa, Oklahoma. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Ahs Oklahoma Physician Group Llc and her current practice location is 2000 S Wheeling Ave, Ste 200, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 748-7854.

Lisha Ryanne Porch-petitt is licensed to practice in Oklahoma (license number 0058269) 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 1104054147.

Contact Information

	Lisha Ryanne Porch-petitt, CNS
	2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649
	(918) 748-7854
	(918) 293-3116

Map and Direction

Provider's Profile

Full Name	Lisha Ryanne Porch-petitt
Gender	Female
Speciality	Certified Clinical Nurse Specialist (cns)
Experience	16 Years
Location	2000 S Wheeling Ave, Tulsa, Oklahoma
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:

Lisha Ryanne Porch-petitt graduated from nursing school in 2008

NPI Data:

NPI Number: 1104054147
Provider Enumeration Date: 06/29/2009
Last Update Date: 07/31/2009

Medicare PECOS Information:

PECOS PAC ID: 8527112895
Enrollment ID: I20090820000678

Medical Identifiers

Medical identifiers for Lisha Ryanne Porch-petitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104054147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364S00000X	Clinical Nurse Specialist	0058269 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tulsa Spine & Specialty Hospital	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ahs Oklahoma Physician Group Llc	9436122496	302

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. Lisha Ryanne Porch-petitt allows following entities to bill medicare on her behalf.

Entity Name	Ahs Oklahoma Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197

Entity Name	Pain Management Of Tulsa P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932240041 PECOS PAC ID: 0244335131 Enrollment ID: O20070423000135

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. Lisha Ryanne Porch-petitt 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
Lisha Ryanne Porch-petitt, CNS 1515 N Harvard Ave, Ste E, Tulsa, OK 74115-4957 Ph: (918) 832-6049	Lisha Ryanne Porch-petitt, CNS 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 Ph: (918) 748-7854

Reviews and Comments

Clinical Nurse Specialist Nurses in Tulsa, OK

Teressa Headrick Lemaster, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1705 E 19th St, Suite 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539
Lisa Darcell Davis, APRN-CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Suite A100, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578
Suzanne Kirby, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave Ste 1105, Tulsa, OK 74104 Phone: 918-579-5749
Kristin Mariah Pruitt, APRN-CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1265 S Utica Ave, Suite 300, Tulsa, OK 74104 Phone: 918-592-0999 Fax: 918-592-1021
Ruth Ann Fritz, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave Ste 401, Tulsa, OK 74136 Phone: 918-561-6141 Fax: 918-582-3593
Tammy Irene Joplin, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2769
Julia Anne Jackson, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1422 E 71st St Ste B, Tulsa, OK 74136 Phone: 918-710-0422 Fax: 918-949-6681

Lisha Ryanne Porch-petitt, CNS - Medicare Certified Clinical Nurse Specialist (cns) in Tulsa, OK