Lisa Rene Ross, MD | |
214 14th Ave Sw, Sidney, MT 59270-3521 | |
(406) 488-2100 | |
(406) 488-2125 |
Full Name | Lisa Rene Ross |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 214 14th Ave Sw, Sidney, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831181924 | NPI | - | NPPES |
122154000 | Other | WY | MDCD PIN |
000092716 | Other | MT | BCBS PIN |
0150917 | Other | MT | MDCD PIN |
10978 | Other | MT | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 34661 (Iowa) | Primary |
Entity Name | Northern Montana Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427059070 PECOS PAC ID: 2264343912 Enrollment ID: O20031229000278 |
Entity Name | Sidney Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376617191 PECOS PAC ID: 0749181535 Enrollment ID: O20040115000513 |
Entity Name | Sidney Health Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1285719161 PECOS PAC ID: 0749181535 Enrollment ID: O20061104000419 |
Mailing Address | Practice Location Address |
---|---|
Lisa Rene Ross, MD 216 14th Ave Sw, Sidney, MT 59270-3519 Ph: (406) 488-2577 | Lisa Rene Ross, MD 214 14th Ave Sw, Sidney, MT 59270-3521 Ph: (406) 488-2100 |
Dr. Robert E Hardy, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 216 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2577 Fax: 406-488-2125 | |
Dr. Malua Tambi Iya, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 214 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 | |
Dr. Shari Jean Twigg, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 214 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2577 |