Lisa R Humphries, PA - Medicare in Acoma, NM

Lisa R Humphries, PA is a medicare enrolled "Physician Assistant" in Acoma, New Mexico. Her current practice location is 80 B Veterans Blvd, Acoma, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 552-5300.

Lisa R Humphries is licensed to practice in Kansas (license number 15-01128) 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 1164517900.

Contact Information

Lisa R Humphries, PA
80 B Veterans Blvd,
Acoma, NM 87034
(505) 552-5300
(505) 552-5805



Provider's Profile

Full NameLisa R Humphries
GenderFemale
Speciality
Experience Years
Location80 B Veterans Blvd, Acoma, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa R Humphries attended and graduated from in
  NPI Data:
  • NPI Number: 1164517900
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 08/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Lisa R Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164517900NPI-NPPES
H3451MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 15-01128 (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. Lisa R Humphries 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 AddressPractice Location Address
Lisa R Humphries, PA
P.o. Box 130,
San Fidel, NM 87049-0130

Ph: (505) 552-5300
Lisa R Humphries, PA
80 B Veterans Blvd,
Acoma, NM 87034

Ph: (505) 552-5300

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› Verified 7 days ago


Physician Assistant Nurses in Acoma, NM

Michael P Bonnet, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Mr. David L Miller, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5490
Donita Sue Demontiney, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Ms. Noreen Tresa Jack-mooney, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Mr. Joseph W Morris, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Brenda Y Pacheco, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5490

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