Lisa M Herbert, OTR is a
Occupational Therapist - Pediatrics physician based in East China, Michigan. Lisa M Herbert is licensed to practice in Michigan (license number 5201002914) and her current practice location is 4100 S River Rd, East China, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 329-5385.
NPI number for Lisa M Herbert is 1912461229 and her current mailing address is 4100 S River Road, East China, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912461229.
Physician's Profile
| Full Name | Lisa M Herbert |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 4100 S River Rd, East China, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912461229
- Provider Enumeration Date: 01/31/2019
- Last Update Date: 01/31/2019
Medical Identifiers
Medical identifiers for Lisa M Herbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912461229 | NPI | - | NPPES |
| 1619941333 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 5201002914 (Michigan) | Secondary |
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 5201002914 (Michigan) | Secondary |
| 225X00000X | Occupational Therapist | 52010022914 (Michigan) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 5201002914 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Herbert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa M Herbert, OTR
4100 S River Road,
East China, MI 48054-2914
Ph: () - | Lisa M Herbert, OTR
4100 S River Rd,
East China, MI 48054-2909
Ph: (810) 329-5385 |
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