Look up the most recent NPI and PECOS records

Lee Carlisle

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

PECOS Enrollment

Based on the most recent information from CMS, provider Lee Carlisle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194832170
Provider Type
Individual
Full Name
Carlisle, Lee
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/24/2006
Last Updated
5/6/2009

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 257-1400

Unlisted Fax

Mailing Location

Uthscsa, Uthscsa, Dept. Anesthesiology, 7703 Floyd Curl Drive, Rm 321.5e, San Antonio, TX 78229

(210) 358-4000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License L5268 Texas

Provider Identifiers

ID	Description	Issuer
ID 173043401	Description Other	Issuer CIDC Texas
ID 173043401	Description Medicaid	Issuer Unlisted Texas
ID 173043402	Description Medicaid	Issuer Unlisted Texas

Lee Carlisle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Clanton, David B.

Joseph A. Pierce, Jr.,M.D.,P.A.

Richardson, John S

Newman, Michael R

Anestexia Llc

Nguyen, Patrick

Shaddock, William

Allen, Stacey

Baginski, Holly

Fleming, Christine L.