Lisa S Grayson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Seattle, Washington. Her current practice location is
1100 9th Ave, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 223-6600.
Lisa S Grayson is licensed to practice in Washington (license number AP30005409) 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 1750358255.
Physician's Profile
| Full Name | Lisa S Grayson |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1100 9th Ave, Seattle, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750358255
- Provider Enumeration Date: 03/02/2006
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547397671
- Enrollment ID: I20100422000196
Medical Identifiers
Medical identifiers for Lisa S Grayson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750358255 | NPI | - | NPPES |
| GR4213 | Other | WA | INDIVIDUAL BLUE SHIELD |
| 430059540 | Other | WA | RAIL ROAD MEDICARE |
| 9617796 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | RN00107853 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30005409 (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. Lisa S Grayson allows following entities to bill medicare on her behalf.
| Entity Name | Virginia Mason Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801851258
PECOS PAC ID: 9830002617
Enrollment ID: O20031107000383 |
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| Entity Name | Paceline Anesthesia, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417273780
PECOS PAC ID: 5799853099
Enrollment ID: O20081013000526 |
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| Entity Name | Washington Gastroenterology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306364401
PECOS PAC ID: 6204194848
Enrollment ID: O20180103000884 |
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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 S Grayson 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 S Grayson, CRNA
1100 Olive Way, Ms M4 Pa,
Seattle, WA 98101-1873
Ph: (206) 515-5811 | Lisa S Grayson, CRNA
1100 9th Ave,
Seattle, WA 98101-2756
Ph: (206) 223-6600 |
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