Individual ProviderLisa-Ann WuermserPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address8200 Walnut Hill Ln, Dallas, TX 75231-4402(763) 520-0453PECOS EnrollmentBased on the most recent information from CMS, provider Lisa-Ann Wuermser 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 yesterday at 10:50 AM.Profile DetailsProvider ID1003910563Provider TypeIndividualFull NameWuermser, Lisa-AnnCredentialMDGenderFemaleSole ProprietorNoEnumeration Date9/12/2006Last Updated2/22/2022Contact InformationPractice LocationPractice Address8200 Walnut Hill Ln, Dallas, TX 75231-4402Phone(763) 520-0453FaxUnlisted FaxMailing LocationMailing Address5323 Harry Hines Blvd, Dallas, TX 75390-9087PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicenseJ7785TexasCode208100000XDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense102684MinnesotaCode208100000XDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense49260MinnesotaProvider IdentifiersIDDescriptionIssuerID375412000DescriptionMedicaidIssuerUnlistedMinnesotaID103575003DescriptionMedicaidIssuerUnlistedTexas