Lisa Douglas, is a
Counselor - Professional based in Summerville, Pennsylvania. Lisa Douglas is licensed to practice in Pennsylvania (license number PC012450) and her current practice location is
2060 Duck Rd, Summerville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 715-5851.
NPI number for Lisa Douglas is 1588280085 and her current mailing address is 2060 Duck Rd, Summerville, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588280085.
Healthcare Provider's Profile
Full Name | Lisa Douglas |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 2060 Duck Rd, Summerville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588280085
- Provider Enumeration Date: 06/19/2020
- Last Update Date: 06/19/2020
Medical Identifiers
Medical identifiers for Lisa Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588280085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC012450 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Douglas, 2060 Duck Rd, Summerville, PA 15864-6022 Ph: (814) 715-5851 | Lisa Douglas, 2060 Duck Rd, Summerville, PA 15864-6022 Ph: (814) 715-5851 |
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