Ms Lisa Gail Wahl, ARNP in Lacey, WA - Medicare Nurse Practitioner

Ms Lisa Gail Wahl, ARNP is a medicare enrolled "Nurse Practitioner" in Lacey, Washington. Her current practice location is 420 Golf Club Rd Se, Suite 204, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 493-7469.

Ms Lisa Gail Wahl is licensed to practice in Washington (license number AP30007766) 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 1518153949.

Contact Information

	Ms Lisa Gail Wahl, ARNP
	420 Golf Club Rd Se, Suite 204, Lacey, WA 98503-1048
	(360) 493-7469
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lisa Gail Wahl
Gender	Female
Speciality	Nurse Practitioner
Location	420 Golf Club Rd Se, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518153949
Provider Enumeration Date: 09/19/2007
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 3971691619
Enrollment ID: I20071114000261

Medical Identifiers

Medical identifiers for Ms Lisa Gail Wahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518153949	NPI	-	NPPES
9654252	Medicaid	WA
AP30007766	Other	WA	WA LICENSE
G8888381	Other	WA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP30007766 (Washington)	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. Ms Lisa Gail Wahl allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376624981 PECOS PAC ID: 9234048323 Enrollment ID: O20040227000254

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. Ms Lisa Gail Wahl 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
Ms Lisa Gail Wahl, ARNP Po Box 3360, Portland, OR 97208-3360 Ph: () -	Ms Lisa Gail Wahl, ARNP 420 Golf Club Rd Se, Suite 204, Lacey, WA 98503-1048 Ph: (360) 493-7469

Reviews and Comments

Nurse Practitioner Nurses in Lacey, WA

Cynthia A Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 Fax: 360-413-6509
Sheree Harvey, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840
Jodi Fischer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090
Carrie Welty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516 Phone: 360-413-4200
Mr. Prachanda Khadka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225
Amanda Lee Hatt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460
Mrs. Audry Marie Torres, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225

Ms Lisa Gail Wahl, ARNP - Medicare Nurse Practitioner in Lacey, WA