Mrs Lisa Marie Van Guilder, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Port Lavaca, Texas. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ucp Physicians Of Central Texas, Pllc and her current practice location is
603 State Highway 35 S, Port Lavaca, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 553-6400.
Mrs Lisa Marie Van Guilder is licensed to practice in Texas (license number 1181296) 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 1275778433.
Physician's Profile
| Full Name | Mrs Lisa Marie Van Guilder |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 18 Years |
|---|
| Location | 603 State Highway 35 S, Port Lavaca, Texas |
|---|
| 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:
- Mrs Lisa Marie Van Guilder graduated from medical school in 2008
NPI Data:
- NPI Number: 1275778433
- Provider Enumeration Date: 12/02/2008
- Last Update Date: 07/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406994003
- Enrollment ID: I20101112000111
Medical Identifiers
Medical identifiers for Mrs Lisa Marie Van Guilder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275778433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | CNP-01636 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 28145291A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71002855A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP01636 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP-01636 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1181296 (Texas) | Primary |
Medical Facilities Affiliation
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. Mrs Lisa Marie Van Guilder allows following entities to bill medicare on her behalf.
| Entity Name | Island Medical Loe Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1457636706
PECOS PAC ID: 3274700323
Enrollment ID: O20120113000095 |
|---|
| Entity Name | Lesher Health Clinic Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609118603
PECOS PAC ID: 9739315631
Enrollment ID: O20131125001046 |
|---|
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. Mrs Lisa Marie Van Guilder 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 |
|---|
Mrs Lisa Marie Van Guilder, NP-C
603 State Highway 35 S,
Port Lavaca, TX 77979-2411
Ph: (361) 553-6400 | Mrs Lisa Marie Van Guilder, NP-C
603 State Highway 35 S,
Port Lavaca, TX 77979-2411
Ph: (361) 553-6400 |
Reviews and Comments