Lisa Whitley, PT in Rancho Mission Viejo, CA - Medicare Physical Therapist Provider

Lisa Whitley, PT is a medicare enrolled "Physical Therapist" provider in Rancho Mission Viejo, California. Her current practice location is 1 Amistad Dr, Rancho Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 979-5675.

Lisa Whitley is licensed to practice in California (license number 27875) 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 1548947609.

Contact Information

	Lisa Whitley, PT
	1 Amistad Dr, Rancho Mission Viejo, CA 92694-1897
	(949) 979-5675
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Whitley
Gender	Female
Speciality	Physical Therapist
Location	1 Amistad Dr, Rancho Mission Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548947609
Provider Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7416311097
Enrollment ID: I20230914004005

Medical Identifiers

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

Identifier	Type	State	Issuer
1548947609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27875 (California)	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. Lisa Whitley allows following entities to bill medicare on her behalf.

Provider Name	New Life Physical Therapy Services Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800

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 Whitley 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 Whitley, PT 6 Clawson St, Ladera Ranch, CA 92694-0228 Ph: (949) 466-8408	Lisa Whitley, PT 1 Amistad Dr, Rancho Mission Viejo, CA 92694-1897 Ph: (949) 979-5675

Reviews and Comments

Physical Therapist in Rancho Mission Viejo, CA

Armia Abdo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Yerra St, Rancho Mission Viejo, CA 92694 Phone: 714-801-4285
Jarett Ennis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Las Estrellas Loop, Rancho Mission Viejo, CA 92694 Phone: 866-467-7317
Krystal Von Pohle, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Las Estrellas Loop, Rancho Mission Viejo, CA 92694 Phone: 949-545-2200

Lisa Whitley, PT - Medicare Physical Therapist in Rancho Mission Viejo, CA