Lisha Lynne Wilson, MD in Oakland, CA - Medicare Internal Medicine

Lisha Lynne Wilson, MD is a medicare enrolled "Internal Medicine" physician in Oakland, California. Her current practice location is 400 29th St, Ste 501, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 268-1800.

Lisha Lynne Wilson is licensed to practice in California (license number G73584) 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 1003809765.

Contact Information

	Lisha Lynne Wilson, MD
	400 29th St, Ste 501, Oakland, CA 94609-3550
	(510) 268-1800
	(510) 268-1803

Map and Direction

Physician's Profile

Full Name	Lisha Lynne Wilson
Gender	Female
Speciality	Internal Medicine
Location	400 29th St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003809765
Provider Enumeration Date: 08/29/2005
Last Update Date: 08/09/2016

Medicare PECOS Information:

PECOS PAC ID: 2961550454
Enrollment ID: I20090512000156

Medical Identifiers

Medical identifiers for Lisha Lynne Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003809765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G73584 (California)	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. Lisha Lynne Wilson allows following entities to bill medicare on her behalf.

Entity Name	East Bay Area Quality Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295182335 PECOS PAC ID: 8527355643 Enrollment ID: O20160916001915

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. Lisha Lynne Wilson 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
Lisha Lynne Wilson, MD 400 29th St, Ste 501, Oakland, CA 94609-3550 Ph: (510) 268-1800	Lisha Lynne Wilson, MD 400 29th St, Ste 501, Oakland, CA 94609-3550 Ph: (510) 268-1800

Reviews and Comments

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Lisha Lynne Wilson, MD - Medicare Internal Medicine in Oakland, CA