Lisa Perry, FNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Oceana, West Virginia. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Living Waters Medical Center and her current practice location is
Po Box 158, Oceana, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 682-3015.
Lisa Perry is licensed to practice in West Virginia (license number 107302) 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 1841893146.
Provider's Profile
| Full Name | Lisa Perry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | Po Box 158, Oceana, West Virginia |
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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 Perry graduated from nursing school in 2020
NPI Data:
- NPI Number: 1841893146
- Provider Enumeration Date: 11/18/2020
- Last Update Date: 11/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799186524
- Enrollment ID: I20210630001185
Medical Identifiers
Medical identifiers for Lisa Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841893146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 107302 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Living Waters Medical Center | 2769711019 | 3 |
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 Perry allows following entities to bill medicare on her behalf.
| Entity Name | Living Waters Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114585619
PECOS PAC ID: 2769711019
Enrollment ID: O20190911002098 |
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| Entity Name | Mountaineer Wellness And Recovery Centers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013557982
PECOS PAC ID: 6709217748
Enrollment ID: O20200507002112 |
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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 Perry 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 Perry, FNP-C
Po Box 158,
Oceana, WV 24870-0158
Ph: (304) 682-3015 | Lisa Perry, FNP-C
Po Box 158,
Oceana, WV 24870-0158
Ph: (304) 682-3015 |
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