Lisa Lee Rohm, NP is a medicare enrolled "Nurse Practitioner - Family" in Port Orford, Oregon. Her current practice location is
525 Madrona Ave, Port Orford, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 332-3281.
Lisa Lee Rohm is licensed to practice in Oregon (license number 10008819APRN-NP) 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 1487274361.
Provider's Profile
| Full Name | Lisa Lee Rohm |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 525 Madrona Ave, Port Orford, Oregon |
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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: 1487274361
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890102685
- Enrollment ID: I20210323000832
Medical Identifiers
Medical identifiers for Lisa Lee Rohm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487274361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 10008819APRN-NP (Oregon) | 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 Lee Rohm allows following entities to bill medicare on her behalf.
| Entity Name | Surprise Valley Health Care District |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1801973052
PECOS PAC ID: 1658368519
Enrollment ID: O20061104000300 |
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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 Lee Rohm 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 |
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Lisa Lee Rohm, NP
40551 Little River Airport Rd,
Little River, CA 95456-9665
Ph: (503) 708-8182 | Lisa Lee Rohm, NP
525 Madrona Ave,
Port Orford, OR 97465-9552
Ph: (541) 332-3281 |
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