Lisa Jill Doherty, DO | |
330 N Best Ave, Walnutport, PA 18088-1205 | |
(610) 760-8080 | |
(610) 760-8148 |
Full Name | Lisa Jill Doherty |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 330 N Best Ave, Walnutport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447356357 | NPI | - | NPPES |
0015096280008 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS008045L (Pennsylvania) | Primary |
Entity Name | Pennsylvania Urgent Care Centers, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902128721 PECOS PAC ID: 8123200631 Enrollment ID: O20110304000289 |
Entity Name | Doherty Family Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730772922 PECOS PAC ID: 7012323702 Enrollment ID: O20210303003065 |
Mailing Address | Practice Location Address |
---|---|
Lisa Jill Doherty, DO 330 N. Best Ave., Suite A, Walnutport, PA 18088-1205 Ph: (610) 760-8080 | Lisa Jill Doherty, DO 330 N Best Ave, Walnutport, PA 18088-1205 Ph: (610) 760-8080 |
Thomas Edward Yablonski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 N Best Ave, Walnutport, PA 18088 Phone: 610-760-7044 Fax: 610-760-8587 | |
Dr. Debra Ellen Cressman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 N Best Ave, Walnutport, PA 18088 Phone: 610-760-7044 Fax: 610-760-8587 | |
Colleen Manzella, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N Best Ave, Walnutport, PA 18088 Phone: 610-760-8080 Fax: 610-760-8148 |