Dr Lisa M Nicholson, MD in Tacoma, WA - Medicare Obstetrics & Gynecology

Dr Lisa M Nicholson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tacoma, Washington. Her current practice location is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 968-2252.

Dr Lisa M Nicholson is licensed to practice in Indiana (license number 01068067A) 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 1689840399.

Contact Information

	Dr Lisa M Nicholson, MD
	Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-3013
	(253) 968-2252
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lisa M Nicholson
Gender	Female
Speciality	Obstetrics & Gynecology
Location	Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689840399
Provider Enumeration Date: 05/02/2008
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8022360122
Enrollment ID: I20200117001808

Medical Identifiers

Medical identifiers for Dr Lisa M Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689840399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	04-41362 (Kansas)	Secondary
207V00000X	Obstetrics & Gynecology	MD61023448 (Washington)	Secondary
207V00000X	Obstetrics & Gynecology	01068067A (Indiana)	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. Dr Lisa M Nicholson allows following entities to bill medicare on her behalf.

Entity Name	King County Public Hospital District No 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557

Entity Name	Valley Medical Group-renton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113

Entity Name	Obhg Washington Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087

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 M Nicholson 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
Dr Lisa M Nicholson, MD 6320 98th Ave Nw, Gig Harbor, WA 98335-5625 Ph: (937) 248-9479	Dr Lisa M Nicholson, MD Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-3013 Ph: (253) 968-2252

Reviews and Comments

Obstetrics & Gynecology Doctors in Tacoma, WA

Dr. Melodie M Icasiano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431 Phone: 253-968-1740
Wesley Boyd Davis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1717 S J St # Wa, Tacoma, WA 98405 Phone: 253-625-1104
Kalli Plummer, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 253-274-7991
Dr. Angela Lorraine Gray, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 206-246-0468
James Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-4747
Amanda Carpenter Cousins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 Phone: 301-295-4000
Ladonna Rae Jones, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-9860

Dr Lisa M Nicholson, MD - Medicare Obstetrics & Gynecology in Tacoma, WA