Mrs Lisa Renee Matlock, FNP in Salem, OR - Medicare Nurse Practitioner

Mrs Lisa Renee Matlock, FNP is a medicare enrolled "Nurse Practitioner - Family" in Salem, Oregon. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Salem Health West Valley, Salem Health and her current practice location is 2020 Capitol St Ne, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 399-2424.

Mrs Lisa Renee Matlock is licensed to practice in Oregon (license number 201050187NP) 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 1669703641.

Contact Information

	Mrs Lisa Renee Matlock, FNP
	2020 Capitol St Ne, Salem, OR 97301-0644
	(503) 399-2424
	(503) 375-7429

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Renee Matlock
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	2020 Capitol St Ne, Salem, Oregon
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:

Mrs Lisa Renee Matlock graduated from nursing school in 2010

NPI Data:

NPI Number: 1669703641
Provider Enumeration Date: 01/15/2010
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 3577744671
Enrollment ID: I20110223000104

Medical Identifiers

Medical identifiers for Mrs Lisa Renee Matlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669703641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201050187NP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Salem Hospital	Salem, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salem Health West Valley	7810804630	30
Salem Health	8628986668	387

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. Mrs Lisa Renee Matlock allows following entities to bill medicare on her behalf.

Entity Name	Salem Health West Valley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830

Entity Name	Salem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

Entity Name	Salem Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150

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. Mrs Lisa Renee Matlock 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
Mrs Lisa Renee Matlock, FNP 890 Oak St Se, Salem, OR 97301-3905 Ph: (503) 561-5200	Mrs Lisa Renee Matlock, FNP 2020 Capitol St Ne, Salem, OR 97301-0644 Ph: (503) 399-2424

Reviews and Comments

Nurse Practitioner Nurses in Salem, OR

Ashley Barth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823

Mrs Lisa Renee Matlock, FNP - Medicare Nurse Practitioner in Salem, OR