Lisa Marie Oldham, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Craig, Colorado. She went to Washington University School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Access Community Health Network, Rush University Medical Group, The Memorial Hospital and her current practice location is
750 Hospital Loop, Craig, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 824-9411.
Lisa Marie Oldham is licensed to practice in Colorado (license number DR.0076480) 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 1689636904.
Physician's Profile
| Full Name | Lisa Marie Oldham |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 29 Years |
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| Location | 750 Hospital Loop, Craig, Colorado |
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| 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:
- Lisa Marie Oldham attended and graduated from Washington University School Of Medicine in 1997
NPI Data:
- NPI Number: 1689636904
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 10/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517968357
- Enrollment ID: I20251113003408
Medical Identifiers
Medical identifiers for Lisa Marie Oldham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689636904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 036-105494 (Illinois) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | DR.0076480 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Access Community Health Network | 9537076112 | 182 |
| Rush University Medical Group | 5496658874 | 1521 |
| The Memorial Hospital | 1254231533 | 47 |
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. Lisa Marie Oldham allows following entities to bill medicare on her behalf.
| Entity Name | The Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063418424 PECOS PAC ID: 1254231533 Enrollment ID: O20040112000299 |
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| Entity Name | The Memorial Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1063418424 PECOS PAC ID: 1254231533 Enrollment ID: O20061104000568 |
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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. Lisa Marie Oldham 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 |
Lisa Marie Oldham, MD 7447 W Talcott Ave Ste 454, Chicago, IL 60631-3715 Ph: (773) 631-5767 | Lisa Marie Oldham, MD 750 Hospital Loop, Craig, CO 81625-8750 Ph: (970) 824-9411 |
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