Lisa Trevan, MD | |
10212 Governor Lane Blvd, Suite1004, Williamsport, MD 21795-4086 | |
(301) 733-4200 | |
(301) 223-7121 |
Full Name | Lisa Trevan |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 10212 Governor Lane Blvd, Williamsport, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659313831 | NPI | - | NPPES |
50090037 | Other | PA | CAPITAL BC |
S417 0002 | Other | DC | CAREFIRST BCBS |
KBC1CH | Other | MD | CAREFIRST BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD433370 (Pennsylvania) | Secondary |
207L00000X | Anesthesiology | D0044644 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Maryland Llc | 1850283144 | 77 |
Entity Name | North American Partners In Anesthesia Maryland Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20040330000405 |
Entity Name | First Colonies Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119 |
Entity Name | Securus Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750594347 PECOS PAC ID: 2860586492 Enrollment ID: O20070913000432 |
Entity Name | Columbia Outpatient Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588921225 PECOS PAC ID: 3476718792 Enrollment ID: O20120711000267 |
Entity Name | Anesthesia Management Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467880500 PECOS PAC ID: 8729217955 Enrollment ID: O20140210000652 |
Entity Name | Cumberland Anesthesia Ams Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033531785 PECOS PAC ID: 4981825056 Enrollment ID: O20141015001480 |
Entity Name | Medstar Medical Group Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171207001966 |
Mailing Address | Practice Location Address |
---|---|
Lisa Trevan, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Lisa Trevan, MD 10212 Governor Lane Blvd, Suite1004, Williamsport, MD 21795-4086 Ph: (301) 733-4200 |