Mrs Elisa Miranda Sison Irisari, MD is a
Obstetrics & Gynecology physician based in Moundsville, West Virginia. Mrs Elisa Miranda Sison Irisari is licensed to practice in West Virginia (license number 11087) and her current practice location is 119 Jefferson Ave, Moundsville, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 845-8555.
NPI number for Mrs Elisa Miranda Sison Irisari is 1770668816 and her current mailing address is 2000 Eoff St, Wheeling, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770668816.
Physician's Profile
| Full Name | Mrs Elisa Miranda Sison Irisari |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 119 Jefferson Ave, Moundsville, West Virginia |
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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: 1770668816
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 10/28/2016
Medical Identifiers
Medical identifiers for Mrs Elisa Miranda Sison Irisari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770668816 | NPI | - | NPPES |
| 0094259000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 11087 (West Virginia) | Primary |
| 207V00000X | Obstetrics & Gynecology | 0108761 (Ohio) | Secondary |
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. Mrs Elisa Miranda Sison Irisari 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 |
|---|
Mrs Elisa Miranda Sison Irisari, MD
2000 Eoff St,
Wheeling, WV 26003-3823
Ph: (304) 234-8663 | Mrs Elisa Miranda Sison Irisari, MD
119 Jefferson Ave,
Moundsville, WV 26041-1410
Ph: (304) 845-8555 |
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