Liisa Marie Travis, NP - Medicare Nurse Practitioner in Victorville, CA

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Liisa Marie Travis, NP is a medicare enrolled "Nurse Practitioner" in Victorville, California. Her current practice location is 12490 Business Center Dr Ste 100, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 552-8585.

Liisa Marie Travis is licensed to practice in California (license number 95019345) 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 1780346072.

Contact Information

Liisa Marie Travis, NP
12490 Business Center Dr Ste 100,
Victorville, CA 92395-5833
(760) 552-8585
Not Available

Map and Direction




Provider's Profile

Full NameLiisa Marie Travis
GenderFemale
SpecialityNurse Practitioner
Location12490 Business Center Dr Ste 100, Victorville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780346072
  • Provider Enumeration Date: 10/13/2021
  • Last Update Date: 09/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830584887
  • Enrollment ID: I20220310000216

Medical Identifiers

Medical identifiers for Liisa Marie Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780346072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95019345 (California)Primary
207T00000XNeurological Surgery 494033 (California)Secondary
163W00000XRegistered Nurse 494033 (California)Secondary
2086S0127XSurgery - Trauma Surgery 494033 (California)Secondary

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. Liisa Marie Travis allows following entities to bill medicare on her behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742
Entity NameHigh Desert Neuro-diagnostic Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922028539
PECOS PAC ID: 0143224428
Enrollment ID: O20061226000044
Entity NamePremier Orthopaedic Trauma Specialists Pmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407304439
PECOS PAC ID: 4082992623
Enrollment ID: O20161101002657
Entity NameSports Medicine And Orthopaedic Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669993218
PECOS PAC ID: 7911273180
Enrollment ID: O20171017000976

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. Liisa Marie Travis 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 AddressPractice Location Address
Liisa Marie Travis, NP
17100b Bear Valley Rd # 283,
Victorville, CA 92395-5851

Ph: (209) 499-4604		Liisa Marie Travis, NP
12490 Business Center Dr Ste 100,
Victorville, CA 92395-5833

Ph: (760) 552-8585

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.