Lisa Gucinski Waterman, in Bowie, MD - Medicare Physical Therapist Provider

Lisa Gucinski Waterman, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Bowie, Maryland. Her current practice location is 4000 Mitchellville Rd, #400a, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 805-7110.

Lisa Gucinski Waterman is licensed to practice in Maryland (license number 19368) 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 1215073341.

Contact Information

	Lisa Gucinski Waterman,
	4000 Mitchellville Rd, #400a, Bowie, MD 20716-3104
	(301) 805-7110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Gucinski Waterman
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	4000 Mitchellville Rd, Bowie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215073341
Provider Enumeration Date: 01/29/2007
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4880864354
Enrollment ID: I20110819000496

Medical Identifiers

Medical identifiers for Lisa Gucinski Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215073341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	19368 (Maryland)	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. Lisa Gucinski Waterman allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558

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 Gucinski Waterman 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
Lisa Gucinski Waterman, 16 Holmehurst Ave, Baltimore, MD 21228-4630 Ph: (410) 719-0369	Lisa Gucinski Waterman, 4000 Mitchellville Rd, #400a, Bowie, MD 20716-3104 Ph: (301) 805-7110

Reviews and Comments

Physical Therapist in Bowie, MD

Dante Lemar Gorham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Mitchellville Rd, Ste A400, Bowie, MD 20716 Phone: 301-805-7110
Possibilities Physical Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 3622 Majestic Ln, Bowie, MD 20715 Phone: 301-502-4938
Michael White, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1525 Pointer Ridge Pl, #304, Bowie, MD 20716 Phone: 301-466-6283
Keith Y Fleischmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4367 Northview Dr, Bowie, MD 20716 Phone: 301-464-4500 Fax: 301-464-8818
Mary Kathleen Sorenson, PT/CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 Gallant Fox Ln Ste 114, Bowie, MD 20715 Phone: 410-263-6638 Fax: 410-268-6830
Richmond Sarpong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4000 Mitchellville Rd Ste B222, Bowie, MD 20716 Phone: 301-464-3775 Fax: 301-358-3211
Meghan S Mahar, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Po Box 552, Bowie, MD 20718 Phone: 240-485-7737

Lisa Gucinski Waterman, - Medicare Physical Therapist in Bowie, MD