Dr Lisa A Davis, MD is a
Plastic Surgery physician based in Willoughby, Ohio. Dr Lisa A Davis is licensed to practice in Ohio (license number 35-06-5167-D) and her current practice location is 36100 Euclid Ave, #490, Willoughby, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 953-1818.
NPI number for Dr Lisa A Davis is 1013008127 and her current mailing address is 10605 Mulberry Rd, Chardon, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013008127.
Physician's Profile
| Full Name | Dr Lisa A Davis |
|---|
| Gender | Female |
|---|
| Speciality | Plastic Surgery |
|---|
| Location | 36100 Euclid Ave, Willoughby, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013008127
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Lisa A Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013008127 | NPI | - | NPPES |
| 2027943 | Medicaid | OH | |
| 000000127718 | Other | OH | ANTHEM |
| 80616 | Other | OH | QUAL CHOICE |
| 5143509 | Other | OH | AETNA |
| 1300195 | Other | OH | UNITED HEALTH CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 35-06-5167-D (Ohio) | 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. Dr Lisa A Davis 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 |
|---|
Dr Lisa A Davis, MD
10605 Mulberry Rd,
Chardon, OH 44024-8702
Ph: () - | Dr Lisa A Davis, MD
36100 Euclid Ave, #490,
Willoughby, OH 44094-4456
Ph: (440) 953-1818 |
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