Katherine Lisoni, MD | |
420 W 4th St, Mishawaka, IN 46544-1948 | |
(574) 307-7673 | |
(574) 307-7692 |
Full Name | Katherine Lisoni |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 420 W 4th St, Mishawaka, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780601351 | NPI | - | NPPES |
200844990 | Medicaid | IN | |
000000580326 | Other | IN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11011690 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthlinc Inc | 7618929373 | 60 |
Entity Name | Healthlinc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
Mailing Address | Practice Location Address |
---|---|
Katherine Lisoni, MD 2401 Valley Dr, Valparaiso, IN 46383-2520 Ph: (219) 413-5100 | Katherine Lisoni, MD 420 W 4th St, Mishawaka, IN 46544-1948 Ph: (574) 307-7673 |
Theodore R Neumann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545 Phone: 574-335-6580 | |
Dr. Josephine Schimizzi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1505 South Spring Street, Mishawaka, IN 46544 Phone: 574-255-0726 | |
Dale Dennis Deardorff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 W 4th St, Suite 180, Mishawaka, IN 46544 Phone: 574-247-3456 Fax: 574-247-3455 | |
Dr. Jack S. Bartoszek, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544 Phone: 574-252-3085 Fax: 574-252-5906 | |
Dr. Lawrence R Curry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 Fax: 574-258-4278 | |
Jennifer Anne Pennington, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544 Phone: 574-647-1900 Fax: 574-254-7222 | |
Lynn Day, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5209 Breezewood Dr, Mishawaka, IN 46544 Phone: 574-255-2838 |