Mrs Lisa Marie Jin, PA is a medicare enrolled "Military Health Care Provider" in Tacoma, Washington. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Texas Southwestern Medical Center At Dallas and her current practice location is
9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 968-2252.
Mrs Lisa Marie Jin is licensed to practice in * (Not Available) (license number ) 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 1124343272.
Provider's Profile
| Full Name | Mrs Lisa Marie Jin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 9040 Jackson Ave, Tacoma, Washington |
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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:
- Mrs Lisa Marie Jin graduated from nursing school in 2009
NPI Data:
- NPI Number: 1124343272
- Provider Enumeration Date: 04/01/2010
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446580336
- Enrollment ID: I20190918003276
Medical Identifiers
Medical identifiers for Mrs Lisa Marie Jin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124343272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 3195 |
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 Jin 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 Jin, PA
207 Lumpkin St,
Fort Moore, GA 31905-6548
Ph: (254) 226-0826 | Mrs Lisa Marie Jin, PA
9040 Jackson Ave,
Tacoma, WA 98431-2705
Ph: (253) 968-2252 |
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