Individual ProviderLisa MacdonaldNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1201 W 38th St, Austin, TX 78705-1006(512) 324-1000PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Macdonald is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1295481950Provider TypeIndividualFull NameMacdonald, LisaCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date2/22/2022Last Updated2/22/2022Contact InformationPractice LocationPractice Address1201 W 38th St, Austin, TX 78705-1006Phone(512) 324-1000FaxUnlisted FaxMailing LocationMailing Address1201 W 38th St, Austin, TX 78705-1006PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1071205Texas