Lisa Reeves Mahoney, MD is a
Dermatology physician based in Miller Place, New York. Lisa Reeves Mahoney is licensed to practice in New York (license number 124569) and her current practice location is 565 Route 25a, Suite 4, Miller Place, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 821-9200.
NPI number for Lisa Reeves Mahoney is 1033188669 and her current mailing address is 565 Route 25a, Suite 4, Miller Place, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033188669.
Physician's Profile
| Full Name | Lisa Reeves Mahoney |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 565 Route 25a, Miller Place, New York |
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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: 1033188669
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Lisa Reeves Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033188669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 124569 (New York) | 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 Reeves Mahoney 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 Reeves Mahoney, MD
565 Route 25a, Suite 4,
Miller Place, NY 11764-2663
Ph: (631) 821-9200 | Lisa Reeves Mahoney, MD
565 Route 25a, Suite 4,
Miller Place, NY 11764-2663
Ph: (631) 821-9200 |
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