Dr Lisa Marie Wannamaker, DO in Evans, GA

Dr Lisa Marie Wannamaker, DO is a medicare enrolled "Family Medicine" physician in Evans, Georgia. Her current practice location is 4720 Washington Rd, Evans, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 774-7263.

Dr Lisa Marie Wannamaker is licensed to practice in Georgia (license number 55462) 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 1912069451.

Contact Information

	Dr Lisa Marie Wannamaker, DO
	4720 Washington Rd, Evans, GA 30809
	(706) 774-7263
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lisa Marie Wannamaker
Gender	Female
Speciality	Family Medicine
Location	4720 Washington Rd, Evans, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912069451
Provider Enumeration Date: 12/14/2006
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 9335412170
Enrollment ID: I20170830001915

Medical Identifiers

Medical identifiers for Dr Lisa Marie Wannamaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912069451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	55462 (Georgia)	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 Marie Wannamaker allows following entities to bill medicare on her behalf.

Entity Name	University Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336413954 PECOS PAC ID: 2567640915 Enrollment ID: O20110707000164

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 Marie Wannamaker 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 Marie Wannamaker, DO Po Box 1705, Augusta, GA 30903-1705 Ph: (706) 774-7263	Dr Lisa Marie Wannamaker, DO 4720 Washington Rd, Evans, GA 30809 Ph: (706) 774-7263

Reviews and Comments

Family Medicine Doctors in Evans, GA

Shireen Qureshi Moore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 363 N Belair Rd, Evans, GA 30809 Phone: 706-650-7563 Fax: 706-650-9540
Dr. Sherry T Barinowski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 N Belair Rd, Suite 1c, Evans, GA 30809 Phone: 706-854-2160 Fax: 706-854-2930
Dr. Kevin Kennedy Trapnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 447 N Belair Rd, # 101, Evans, GA 30809 Phone: 706-854-2222 Fax: 706-854-2223
Dr. Dorthe Rauholt Peloquin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4344 Hardy Mcmanus Rd, Evans, GA 30809 Phone: 706-863-2810 Fax: 706-863-3233
Dr. John William Richards Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3914 Mullikin Rd, Evans, GA 30809 Phone: 706-877-4705
Kelley Velinda Mondi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 N Belair Rd, Suite 1c, Evans, GA 30809 Phone: 706-854-2160 Fax: 706-854-2930
Dr. Christa Marie Pepitone, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 618 Ponder Place Dr, Suite 2, Evans, GA 30809 Phone: 706-760-7607

Dr Lisa Marie Wannamaker, DO - Medicare Family Medicine in Evans, GA