| Lisa Anne Lima, MD | |
|
2200 Bergquist Dr, Ste 1, Lackland A F B, TX 78236-9907 | |
| (210) 292-5212 | |
| (210) 292-7986 |
| Full Name | Lisa Anne Lima |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 2200 Bergquist Dr, Lackland A F B, Texas |
| 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 |
|---|---|---|---|
| 1568652287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD-14404 (Hawaii) | Secondary |
| 207L00000X | Anesthesiology | M8292 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Physician Associates Pllc | 1850535048 | 204 |
| Entity Name | Indian River Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Anne Lima, MD 415 Eagleview Boulevard, Suite 108, Exton, PA 19341-2239 Ph: (800) 872-8626 | Lisa Anne Lima, MD 2200 Bergquist Dr, Ste 1, Lackland A F B, TX 78236-9907 Ph: (210) 292-5212 |
Dr. Lynnell Marie Daniel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Bergquist Dr, Lackland Air Force Base, Lackland A F B, TX 78236 Phone: 210-292-7956 | |
Dr. Thomas Alan Edell, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6707 Fax: 210-292-7964 |