Dr Lisa J Moudgill, MD in Philadelphia, PA

Dr Lisa J Moudgill, MD is a medicare enrolled "Surgery" physician in Philadelphia, Pennsylvania. Her current practice location is 111 S 15th St, #1604, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 681-2036.

Dr Lisa J Moudgill is licensed to practice in Pennsylvania (license number MT186151) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205044948.

Contact Information

	Dr Lisa J Moudgill, MD
	111 S 15th St, #1604, Philadelphia, PA 19102-2625
	(215) 681-2036
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lisa J Moudgill
Gender	Female
Speciality	Surgery
Location	111 S 15th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205044948
Provider Enumeration Date: 05/18/2007
Last Update Date: 01/31/2011

Medicare PECOS Information:

PECOS PAC ID: 1557518982
Enrollment ID: I20120820001069

Medical Identifiers

Medical identifiers for Dr Lisa J Moudgill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205044948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MT186151 (Pennsylvania)	Primary
208600000X	Surgery	MD432152 (Pennsylvania)	Secondary

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 J Moudgill is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Lisa J Moudgill, MD 111 S 15th St, #1604, Philadelphia, PA 19102-2625 Ph: (215) 681-2036	Dr Lisa J Moudgill, MD 111 S 15th St, #1604, Philadelphia, PA 19102-2625 Ph: (215) 681-2036

Reviews and Comments

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Dr Lisa J Moudgill, MD - Medicare Surgery in Philadelphia, PA