Dr Lisa Michelle Davis, PHD, PA-C is a
Physician Assistant - Medical physician based in Ellicott City, Maryland. Dr Lisa Michelle Davis is licensed to practice in Maryland (license number C0002863) and her current practice location is 3950 White Rose Way, Ellicott City, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 865-5342.
NPI number for Dr Lisa Michelle Davis is 1629887518 and her current mailing address is 3950 White Rose Way, Ellicott City, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629887518.
Physician's Profile
Full Name | Dr Lisa Michelle Davis |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 3950 White Rose Way, Ellicott City, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629887518
- Provider Enumeration Date: 01/06/2025
- Last Update Date: 01/06/2025
Medical Identifiers
Medical identifiers for Dr Lisa Michelle Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629887518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | C0002863 (Maryland) | Secondary |
363AM0700X | Physician Assistant - Medical | C0002863 (Maryland) | 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 Michelle 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 Michelle Davis, PHD, PA-C 3950 White Rose Way, Ellicott City, MD 21042-5822 Ph: (443) 865-5342 | Dr Lisa Michelle Davis, PHD, PA-C 3950 White Rose Way, Ellicott City, MD 21042-5822 Ph: (443) 865-5342 |
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