Lisa Marie Tolliver, PA-C is a medicare enrolled "Physician Assistant - Medical" in Proctorville, Ohio. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Kings Daughters Medical Specialties Inc, Kings Daughters Medical Specialties Inc, Premier Therapy And Health Centers Inc and her current practice location is
6276 County Road 107, Proctorville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(888) 221-1826.
Lisa Marie Tolliver is licensed to practice in Kentucky (license number PA1634) 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 1043598485.
Provider's Profile
| Full Name | Lisa Marie Tolliver |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 6276 County Road 107, Proctorville, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Marie Tolliver graduated from nursing school in 2011
NPI Data:
- NPI Number: 1043598485
- Provider Enumeration Date: 08/03/2011
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890965115
- Enrollment ID: I20110824000457
Medical Identifiers
Medical identifiers for Lisa Marie Tolliver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043598485 | NPI | - | NPPES |
| 1043598485 | Medicaid | WV | |
| 7100179880 | Medicaid | KY | |
| P01094323 | Other | KY | RR MEDICARE |
| 0166746 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 2555 (West Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 50.003489 (Ohio) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA1634 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kings Daughters Medical Specialties Inc | 6103968029 | 355 |
| Kings Daughters Medical Specialties Inc | 6103968029 | 355 |
| Premier Therapy And Health Centers Inc | 7416859574 | 189 |
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 Marie Tolliver 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 Marie Tolliver, PA-C
Po Box 390,
Huntington, WV 25708-0390
Ph: (304) 429-1088 | Lisa Marie Tolliver, PA-C
6276 County Road 107,
Proctorville, OH 45669-8867
Ph: (888) 221-1826 |
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