Dr Lisa M Thorn, MD is a medicare enrolled "Family Medicine" physician in Averill Park, New York. Her current practice location is
3305 Route 43, Averill Park, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 674-5797.
Dr Lisa M Thorn is licensed to practice in New York (license number 187244) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457432833.
Physician's Profile
Full Name | Dr Lisa M Thorn |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3305 Route 43, Averill Park, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Lisa M Thorn attended and graduated from in
NPI Data:
- NPI Number: 1457432833
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 01/18/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Lisa M Thorn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457432833 | NPI | - | NPPES |
10002042 | Other | NY | CDPHP |
5731176 | Other | NY | AETNA |
01397479 | Medicaid | NY | |
92949 | Other | NY | GHI/HMO |
5562A1 | Other | NY | EMPIRE BC |
FIDELIS | Other | NY | 070129000060 |
000401537006 | Other | NY | BSNENY |
383845 | Other | NY | MVP |
SENIOR WHOLE HEALTH | Other | NY | 200249 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 187244 (New York) | 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 M Thorn 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 M Thorn, MD 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Dr Lisa M Thorn, MD 3305 Route 43, Averill Park, NY 12018 Ph: (518) 674-5797 |
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