Ellen Segal Lisman, PA-C is a
Internal Medicine - Nephrology based in Philadelphia, Pennsylvania. Ellen Segal Lisman is licensed to practice in Pennsylvania (license number MA003319L) and her current practice location is
2701 Holme Ave, Suite 203, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 331-0515.
NPI number for Ellen Segal Lisman is 1366482531 and her current mailing address is 2701 Holme Ave, Suite 203, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366482531.
Provider's Profile
Full Name | Ellen Segal Lisman |
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Gender | Female |
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Speciality | Internal Medicine - Nephrology |
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Location | 2701 Holme Ave, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366482531
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 11/03/2010
Medical Identifiers
Medical identifiers for Ellen Segal Lisman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366482531 | NPI | - | NPPES |
1045793 | Other | PA | PHYSICIAN ASST LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | MA003319L (Pennsylvania) | Secondary |
207RN0300X | Internal Medicine - Nephrology | MA003319L (Pennsylvania) | 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. Ellen Segal Lisman 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 |
Ellen Segal Lisman, PA-C 2701 Holme Ave, Suite 203, Philadelphia, PA 19152-2029 Ph: (215) 331-0515 | Ellen Segal Lisman, PA-C 2701 Holme Ave, Suite 203, Philadelphia, PA 19152-2029 Ph: (215) 331-0515 |
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