Lisa Burgess, MD | |
320 Pomfret St, Putnam, CT 06260-1836 | |
(860) 928-6541 | |
Not Available |
Full Name | Lisa Burgess |
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Gender | Female |
Speciality | Anesthesiology |
Location | 320 Pomfret St, Putnam, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578583449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA06502400 (New Jersey) | Secondary |
207L00000X | Anesthesiology | 037140 (Connecticut) | Primary |
Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
Mailing Address | Practice Location Address |
---|---|
Lisa Burgess, MD 24 Hospital Ave, Danbury, CT 06810-6099 Ph: (203) 739-7043 | Lisa Burgess, MD 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 928-6541 |
Kristiyan S. Chervenkov, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 | |
Steven L. Mancini, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 | |
Steven D. Schimmel, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 | |
Dr. Deevia C Patel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 |