Mrs Lisa W Cobb, CRNP-BC is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Moulton, Alabama. Her current practice location is
1300 County Road 326, Moulton, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 366-4356.
Mrs Lisa W Cobb is licensed to practice in Alabama (license number 1-068239) 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 1225611320.
Physician's Profile
| Full Name | Mrs Lisa W Cobb |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine - Geriatric Medicine |
|---|
| Location | 1300 County Road 326, Moulton, Alabama |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225611320
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183026990
- Enrollment ID: I20210715001409
Medical Identifiers
Medical identifiers for Mrs Lisa W Cobb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225611320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 1-068239 (Alabama) | 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. Mrs Lisa W Cobb allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Wound Care Alabama Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568059137 PECOS PAC ID: 2466865316 Enrollment ID: O20210113002262 |
|---|
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 W Cobb 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 W Cobb, CRNP-BC 1300 County Road 326, Moulton, AL 35650-7017 Ph: (256) 366-4356 | Mrs Lisa W Cobb, CRNP-BC 1300 County Road 326, Moulton, AL 35650-7017 Ph: (256) 366-4356 |
Reviews and Comments