Ms Lisa K Warren, PA is a medicare enrolled "Physician Assistant - Medical" in Valley Center, Kansas. Her current practice location is
2901 W 101st St N, Valley Center, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 650-9837.
Ms Lisa K Warren is licensed to practice in Kansas (license number 1500813) 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 1245298850.
Provider's Profile
| Full Name | Ms Lisa K Warren |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
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| Location | 2901 W 101st St N, Valley Center, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245298850
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 03/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941272686
- Enrollment ID: I20040812000061
Medical Identifiers
Medical identifiers for Ms Lisa K Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245298850 | NPI | - | NPPES |
| 100422140F | Medicaid | KS | |
| 100422140I | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1500813 (Kansas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1500813 (Kansas) | Primary |
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 K Warren 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 K Warren, PA 1827 Farmstead St, Wichita, KS 67208-1745 Ph: (316) 650-9837 | Ms Lisa K Warren, PA 2901 W 101st St N, Valley Center, KS 67147 Ph: (316) 650-9837 |
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