Lisa Mathews, in Medical Lake, WA - Medicare Psychologist Provider

Lisa Mathews, is a medicare enrolled "Psychologist" provider in Medical Lake, Washington. Her current practice location is 850 W. Maple St., Medical Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 565-4000.

Lisa Mathews is licensed to practice in Washington (license number PY61048865) 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 1083035182.

Contact Information

	Lisa Mathews,
	850 W. Maple St., Medical Lake, WA 99022
	(509) 565-4000
	(509) 565-4705

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Mathews
Gender	Female
Speciality	Psychologist
Location	850 W. Maple St., Medical Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083035182
Provider Enumeration Date: 12/17/2013
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8628208006
Enrollment ID: I20220608003168

Medical Identifiers

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

Identifier	Type	State	Issuer
1083035182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2013040148 (Missouri)	Secondary
103T00000X	Psychologist	PY61048865 (Washington)	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 Mathews allows following entities to bill medicare on her behalf.

Entity Name	Department Of Social Dept Of Shs Div Of Instns
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467440602 PECOS PAC ID: 9133013725 Enrollment ID: O20040213000028

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 Mathews 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 Mathews, P.o. Box 800, Medical Lake, WA 99022 Ph: (509) 565-4000	Lisa Mathews, 850 W. Maple St., Medical Lake, WA 99022 Ph: (509) 565-4000

Reviews and Comments

Psychologist in Medical Lake, WA

Dr. Darlene E. Walsh-martin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Christina L. Zampich, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015
Dr. Patricia L. Gunderson, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015
Dr. Gretchen L. Meader, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple St., Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Dr. Alton J Couturier, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015
David W. Elkins Jr., PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705

Lisa Mathews, - Medicare Psychologist in Medical Lake, WA