Lisa Bennett, MD | |
3900 Westerre Pkwy Ste 300, Richmond, VA 23233-1339 | |
(954) 399-4673 | |
Not Available |
Full Name | Lisa Bennett |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 3900 Westerre Pkwy Ste 300, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982645412 | NPI | - | NPPES |
942460636373 | Other | OH | CARESOURCE |
P00250500 | Other | OH | MEDICARE RR-GA |
2224257 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101280908 (Virginia) | Primary |
207P00000X | Emergency Medicine | 35078924B (Ohio) | Secondary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Lisa Bennett, MD 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 Ph: (954) 399-4673 | Lisa Bennett, MD 3900 Westerre Pkwy Ste 300, Richmond, VA 23233-1339 Ph: (954) 399-4673 |
Dr. Enjana Bylykbashi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1213 E Clay St, Richmond, VA 23298 Phone: 804-828-0996 | |
Robert Weisberger, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Bremo Rd, Virginia Emergency Associates Inc, Richmond, VA 23226 Phone: 804-287-7066 Fax: 804-673-9531 | |
Dr. Michael Ferebee, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 757-329-3754 | |
James R Shefferly, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Bremo Rd, Virginia Emergency Associates Inc, Richmond, VA 23226 Phone: 804-287-7066 Fax: 804-673-9531 | |
Jeffry A Zimmerman, P.A. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5801 Bremo Rd, St Francis Emergency Department, Richmond, VA 23226 Phone: 804-287-7066 Fax: 804-673-9531 | |
Shawn M Borich, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Rockbridge St Ste 103, Richmond, VA 23230 Phone: 804-386-0200 | |
Tamera Barnes, MD, FACEP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7101 Jahnke Rd, Richmond, VA 23225 Phone: 804-330-2000 |