Dr Robert W Lisle, MD | |
11 Arley Way, Suite 201, Bluffton, SC 29910-4883 | |
(843) 706-8690 | |
(843) 706-5066 |
Full Name | Dr Robert W Lisle |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 11 Arley Way, Bluffton, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619916012 | NPI | - | NPPES |
S1420009 | Other | MD | CAREFIRST REGIONAL GBMC |
KJ24GB-41705201 | Other | MD | CAREFIRST OF MD GBMC |
026441500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D14318 (Maryland) | Secondary |
207Q00000X | Family Medicine | 32158 (South Carolina) | Primary |
Entity Name | Beaufort County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert W Lisle, MD 11 Arley Way, Suite 201, Bluffton, SC 29910-4883 Ph: (843) 706-8690 | Dr Robert W Lisle, MD 11 Arley Way, Suite 201, Bluffton, SC 29910-4883 Ph: (843) 706-8690 |
Dr. Lynn Marie Goetze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4818 Bluffton Pkwy, Bluffton, SC 29910 Phone: 843-706-0600 Fax: 843-706-0601 | |
Dr. Todd Eric Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Haddington Ct, Bluffton, SC 29910 Phone: 843-757-6597 Fax: 843-757-6597 | |
Rhonda L Wallace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Arley Way Ste 201, Bluffton, SC 29910 Phone: 843-706-8690 | |
Dr. Laura C Knobel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 Plantation Park Dr Ste 202, Bluffton, SC 29910 Phone: 843-836-2200 Fax: 843-757-2202 | |
Dr. Christopher W. Leblanc, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 23 Plantation Park Dr, Ste 401b, Bluffton, SC 29910 Phone: 843-815-5566 | |
Donna J Roberts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Burnt Church Rd, Bluffton, SC 29910 Phone: 843-985-1950 | |
Brooke Elizabeth Miller, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2700 May River Xing Ste 100, Bluffton, SC 29910 Phone: 843-985-2520 Fax: 843-985-9809 |