Edward Alan Lisenbey, MD in Walla Walla, WA - Medicare Emergency Medicine

Edward Alan Lisenbey, MD is a medicare enrolled "Emergency Medicine" physician in Walla Walla, Washington. His current practice location is 401 W Poplar St, Psmmc Er, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 522-5802.

Edward Alan Lisenbey is licensed to practice in Washington (license number MD60085902) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538351606.

Contact Information

	Edward Alan Lisenbey, MD
	401 W Poplar St, Psmmc Er, Walla Walla, WA 99362-2846
	(509) 522-5802
	(509) 522-5541

Map and Direction

Physician's Profile

Full Name	Edward Alan Lisenbey
Gender	Male
Speciality	Emergency Medicine
Location	401 W Poplar St, Walla Walla, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538351606
Provider Enumeration Date: 08/13/2007
Last Update Date: 06/25/2014

Medicare PECOS Information:

PECOS PAC ID: 8729132295
Enrollment ID: I20090818000454

Medical Identifiers

Medical identifiers for Edward Alan Lisenbey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538351606	NPI	-	NPPES
500615356	Medicaid	OR
1538351606	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD60085902 (Washington)	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. Edward Alan Lisenbey allows following entities to bill medicare on his behalf.

Entity Name	Northwest Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892

Entity Name	Sunnyside Emergency Group A Professional Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033529367 PECOS PAC ID: 0941424451 Enrollment ID: O20140623002600

Entity Name	Lourdes Hospital Llc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1831284280 PECOS PAC ID: 1850642562 Enrollment ID: O20180919002474

Entity Name	Lourdes Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853

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. Edward Alan Lisenbey 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
Edward Alan Lisenbey, MD Po Box 34439, Seattle, WA 98124-1439 Ph: () -	Edward Alan Lisenbey, MD 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362-2846 Ph: (509) 522-5802

Reviews and Comments

Emergency Medicine Doctors in Walla Walla, WA

Dr. Philip A Green, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362 Phone: 509-522-5802 Fax: 509-522-5541
Shirley Robin Vonhaven, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 W Poplar, Walla Walla, WA 99362 Phone: 509-522-5802 Fax: 509-522-5950
Jared L Wutzke, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362 Phone: 509-522-5802 Fax: 509-522-5541
Dr. Morgan C Galante, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-897-3700
Joilo Barbosa, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 E Main St # 268, Walla Walla, WA 99362 Phone: 509-529-2966
Aaron B Jones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Emergency Department, Walla Walla, WA 99362 Phone: 509-525-3320
Eric Trent Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362 Phone: 509-522-5802 Fax: 509-522-5541

Edward Alan Lisenbey, MD - Medicare Emergency Medicine in Walla Walla, WA