Dr Stacey A Lenisa, DC | |
164 W. Main Street, Suite D, New Market, MD 21774 | |
(301) 865-8333 | |
(301) 865-8373 |
Full Name | Dr Stacey A Lenisa |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 164 W. Main Street, New Market, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477694446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 02146 (Maryland) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacey A Lenisa, DC 164 W. Main Street, Suite D, New Market, MD 21774 Ph: (301) 865-8333 | Dr Stacey A Lenisa, DC 164 W. Main Street, Suite D, New Market, MD 21774 Ph: (301) 865-8333 |
Dr. Patrick J Farrell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 164 W. Main Street, Suite D, New Market, MD 21774 Phone: 301-865-8333 Fax: 301-865-8373 | |
New Market Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 164 W. Main Street, Suite D, New Market, MD 21774 Phone: 301-865-8333 Fax: 301-865-8373 | |
Dr. Dakota James Boellstorff, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 164 W Main St Ste D, New Market, MD 21774 Phone: 301-865-8333 |