Ms Lisa A Wiener, CRNP,CNM is a medicare enrolled "Advanced Practice Midwife" in Woodbridge, Virginia. Her current practice location is
4379 Ridgewood Center Dr, Ste 102, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 680-7950.
Ms Lisa A Wiener is licensed to practice in Virginia (license number 0024096818) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942367990.
Provider's Profile
| Full Name | Ms Lisa A Wiener |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 4379 Ridgewood Center Dr, Woodbridge, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942367990
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 05/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 3476682055
- Enrollment ID: I20211217001207
Medical Identifiers
Medical identifiers for Ms Lisa A Wiener such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942367990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 0001096818 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0024096818 (Virginia) | Primary |
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. Ms Lisa A Wiener allows following entities to bill medicare on her behalf.
| Entity Name | Neighborhood Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154674026
PECOS PAC ID: 7517853419
Enrollment ID: O20040707000325 |
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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. Ms Lisa A Wiener 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 |
|---|
Ms Lisa A Wiener, CRNP,CNM
4379 Ridgewood Center Dr, Ste 102,
Woodbridge, VA 22192-8322
Ph: (703) 680-7950 | Ms Lisa A Wiener, CRNP,CNM
4379 Ridgewood Center Dr, Ste 102,
Woodbridge, VA 22192-8323
Ph: (703) 680-7950 |
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