Dr Lisa Ann Moran, MD | |
2225 Challenger Way, Santa Rosa, CA 95407-5441 | |
(707) 565-4970 | |
(707) 565-5183 |
Full Name | Dr Lisa Ann Moran |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2225 Challenger Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154399723 | NPI | - | NPPES |
276098 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD24266 (Oregon) | Primary |
Entity Name | County Of Sonoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952637027 PECOS PAC ID: 4688658651 Enrollment ID: O20040616001152 |
Mailing Address | Practice Location Address |
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Dr Lisa Ann Moran, MD 2225 Challenger Way, Santa Rosa, CA 95407-5441 Ph: (707) 565-4970 | Dr Lisa Ann Moran, MD 2225 Challenger Way, Santa Rosa, CA 95407-5441 Ph: (707) 565-4970 |
Dr. Stevan Keram, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1160 N Dutton Ave, Suite 255, Santa Rosa, CA 95401 Phone: 707-526-8800 Fax: 707-526-8886 | |
Barry G Pierce, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1260 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-525-9045 Fax: 707-525-0426 | |
Michael Frederick Kozart, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3322 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4970 | |
Neil P. Ehrlich, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3322 Chanate Rd., Santa Rosa, CA 95404 Phone: 707-565-4741 | |
Dr. Robert S. Gardner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 525 College Ave, 211, Santa Rosa, CA 95404 Phone: 707-575-7647 Fax: 707-575-7739 | |
John F. Cassidy, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Dr. Nandini Lee Rao, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-3778 Fax: 707-571-3799 |