Dr Lisa Cathleen Kieneker, MD - Medicare Family Practice in La Conner, WA

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Dr Lisa Cathleen Kieneker, MD is a medicare enrolled "Family Medicine" physician in La Conner, Washington. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Select Outpatient Services Inc, Select Rehabilitation, Llc, Optum Care Washington Pllc and her current practice location is 528 Myrtle St, La Conner, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 466-0107.

Dr Lisa Cathleen Kieneker is licensed to practice in Washington (license number MD61130841) 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 1215422928.

Contact Information

Dr Lisa Cathleen Kieneker, MD
528 Myrtle St,
La Conner, WA 98257
(360) 466-0107
Not Available

Map and Direction




Physician's Profile

Full NameDr Lisa Cathleen Kieneker
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location528 Myrtle St, La Conner, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Cathleen Kieneker graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1215422928
  • Provider Enumeration Date: 06/25/2018
  • Last Update Date: 07/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7719235480
  • Enrollment ID: I20210729003108

Medical Identifiers

Medical identifiers for Dr Lisa Cathleen Kieneker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215422928NPI-NPPES
2179902MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TRN27403 (Florida)Secondary
207Q00000XFamily Medicine MD61130841 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Island HospitalAnacortes, WAHospital
Samaritan HospitalMoses lake, WAHospital
Skagit Valley HospitalMount vernon, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Select Outpatient Services Inc4082868815827
Select Rehabilitation, Llc90320204902089
Optum Care Washington Pllc6406752153697

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 Cathleen Kieneker allows following entities to bill medicare on her behalf.
Entity NameGrant County Public Hospital District 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619086766
PECOS PAC ID: 9931095692
Enrollment ID: O20040227000602

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 Cathleen Kieneker 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 AddressPractice Location Address
Dr Lisa Cathleen Kieneker, MD
7600 Evergreen Way,
Everett, WA 98203-6421

Ph: (206) 860-5414		Dr Lisa Cathleen Kieneker, MD
528 Myrtle St,
La Conner, WA 98257

Ph: (360) 466-0107

Reviews and Comments


Family Medicine Doctors in La Conner, WA

John E Dugaw Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14743 Channel Dr, La Conner, WA 98257
Phone: 360-466-5596    
Dr. Justin Iwasaki, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17400 Reservation Rd, La Conner, WA 98257
Phone: 360-466-3167    
Charles Evert Larsson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 528 Myrtle Avenue, La Conner, WA 98257
Phone: 360-466-3136    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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