Darren S Lisse, MD | |
1850 Town Center Pkwy, Reston Hospital Center, Reston, VA 20190-3219 | |
(703) 689-9037 | |
(703) 689-9109 |
Full Name | Darren S Lisse |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1850 Town Center Pkwy, Reston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235128927 | NPI | - | NPPES |
0110 | Other | CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101033354 (Virginia) | Primary |
207P00000X | Emergency Medicine | D0036068 (Maryland) | Secondary |
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
Mailing Address | Practice Location Address |
---|---|
Darren S Lisse, MD 1300 Piccard Dr, Suite 202, Rockville, MD 20850-4303 Ph: (301) 921-7900 | Darren S Lisse, MD 1850 Town Center Pkwy, Reston Hospital Center, Reston, VA 20190-3219 Ph: (703) 689-9037 |
Seon H Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Town Center Pkwy, Reston Hospital Center, Reston, VA 20190 Phone: 703-689-9037 Fax: 703-689-9109 | |
Donald S Infeld, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Town Center Parkway, Reston Hospital Center, Reston, VA 20190 Phone: 703-689-9037 Fax: 703-689-9109 | |
Dr. Yusuf Hameed Khan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11484 Washington Paza W, Suite #300, Reston, VA 20190 Phone: 703-443-2000 | |
Saad Amin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Town Center Pkwy, Dept Of Emergency Medicine, Reston, VA 20190 Phone: 703-689-9037 | |
Dr. David Harold Jacobs, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9037 | |
Michael Stoker, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Vidya Reddy Raju, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9037 |