LISA K MAKHOUL PA-C
NPI 1124498688
Physician Assistant in Nanticoke, PA

Q: What is Lisa Makhoul's NPI number?

The NPI number for Lisa Makhoul is 1124498688. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Q: What is Lisa Makhoul's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Makhoul was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2015PECOS EnrolledAccepts Medicare Assignment

121 S PROSPECT ST, NANTICOKE, PA 18634(570) 735-7590(570) 735-0186 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa K Makhoul Pa-c NPPES

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

LISA K MAKHOUL PA-C (NPI 1124498688) is an individual physician assistant in Nanticoke, Pennsylvania, licensed in Pennsylvania (MA057909) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124498688

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLISA K MAKHOULCredential: PA-C

Location Address121 S PROSPECT STNanticoke, PA 18634-2456

Mailing Address121 S Prospect StNanticoke, PA 18634-2456 · (570) 735-7590 · Fax (570) 735-0186

Phone(570) 735-7590

Fax(570) 735-0186

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 28, 2015

Last NPPES UpdateJuly 28, 2016

✔ NPI 1124498688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA057909

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

121 S PROSPECT ST, Nanticoke, PA 18634

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa K Makhoul Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466813910

PECOS Enrollment IDI20230731002134

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18634 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST COUNSELING SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))