LISA DWELLO PA
NPI 1811509276
Physician Assistant - Medical in Watertown, NY
About Lisa Dwello Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA DWELLO PA (NPI 1811509276) is an individual medical provider in Watertown, New York, licensed in New York (025477) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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 Dwello Pa 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERTOWN, NY 13601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Dwello's NPI number?
The NPI number for Lisa Dwello is 1811509276. It was assigned to this individual provider in the NPPES registry on August 18, 2020.
Where is Lisa Dwello located?
Lisa Dwello practices at 160 Stone St, Watertown, NY 13601. The listed phone number is (315) 788-8065.
What is Lisa Dwello's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Lisa Dwello enrolled in Medicare?
Yes. Lisa Dwello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Lisa Dwello was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lisa Dwello, PA · NPI 1811509276
Medical physician in Watertown, New York. Individual provider, active in the CMS NPPES registry since August 18, 2020.
## Identity
- **NPI:** 1811509276 (Entity type: Individual)
- **Enumerated:** August 18, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 025477 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 STONE ST, Watertown, NY 13601-3261
- **Phone:** (315) 788-8065
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811509276) · Data from the CMS NPPES public registry.