Lisa Marie Fertman, is a
Counselor - Professional based in Niland, California. Lisa Marie Fertman is licensed to practice in * (Not Available) (license number ) and her current practice location is
1500 Spa Rd # 415, Niland, California. She can be reached at her office (for appointments etc.) via phone at
(442) 226-6621.
NPI number for Lisa Marie Fertman is 1144041500 and her current mailing address is 1500 Spa Rd # 415, Niland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144041500.
Healthcare Provider's Profile
Full Name | Lisa Marie Fertman |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1500 Spa Rd # 415, Niland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144041500
- Provider Enumeration Date: 10/18/2024
- Last Update Date: 10/18/2024
Medical Identifiers
Medical identifiers for Lisa Marie Fertman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144041500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | 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 Marie Fertman 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 Marie Fertman, 1500 Spa Rd # 415, Niland, CA 92257-9506 Ph: (442) 226-6621 | Lisa Marie Fertman, 1500 Spa Rd # 415, Niland, CA 92257-9506 Ph: (442) 226-6621 |
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