ELISA BISI LIN
NPI 1083357743
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since April 19, 2022PECOS Enrolled
4029 N HALL ST APT D, DALLAS, TX 75219(214) 924-5501 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elisa Bisi Lin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISA BISI LIN (NPI 1083357743) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083357743
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISA BISI LIN
Location Address4029 N HALL ST APT DDallas, TX 75219-3622
Mailing Address4029 N Hall St Apt DDallas, TX 75219-3622 · (214) 924-5501
Sole ProprietorNo
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
NPI 1083357743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4029 N HALL ST APT D, Dallas, TX 75219

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elisa Bisi Lin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083357743, enumerated as an "individual" on April 19, 2022.

The provider is located at 4029 N HALL ST APT D DALLAS, TX 75219 and the phone number is (214) 924-5501.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.