Dr Lisa Ann Remaley-walters, MD is a medicare enrolled "General Practice" physician in Ponte Vedra, Florida. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice St Luke's Physician Group Inc and her current practice location is
93 Wild Elm Ave, Ponte Vedra, Florida. You can reach out to her office (for appointments etc.) via phone at
(814) 528-3212.
Dr Lisa Ann Remaley-walters is licensed to practice in Pennsylvania (license number MD062655L) 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 1578501136.
Physician's Profile
| Full Name | Dr Lisa Ann Remaley-walters |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 25 Years |
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| Location | 93 Wild Elm Ave, Ponte Vedra, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lisa Ann Remaley-walters graduated from medical school in 1999
NPI Data:
- NPI Number: 1578501136
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 03/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 9931109972
- Enrollment ID: I20061222000048
Medical Identifiers
Medical identifiers for Dr Lisa Ann Remaley-walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578501136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | MD062655L (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Luke's Physician Group Inc | 6709798333 | 1739 |
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. Dr Lisa Ann Remaley-walters allows following entities to bill medicare on her behalf.
| Entity Name | Regional Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174520654
PECOS PAC ID: 4880593722
Enrollment ID: O20040108000694 |
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| Entity Name | St Lukes Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062 |
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| Entity Name | Apogee Medical Group Of Pennsylvania Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568633535
PECOS PAC ID: 2668437104
Enrollment ID: O20041124000275 |
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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. Dr Lisa Ann Remaley-walters 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 |
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Dr Lisa Ann Remaley-walters, MD
93 Wild Elm Ave,
Ponte Vedra, FL 32081-8515
Ph: (814) 528-3212 | Dr Lisa Ann Remaley-walters, MD
93 Wild Elm Ave,
Ponte Vedra, FL 32081-8515
Ph: (814) 528-3212 |
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