Johnny Lee Isenberger, | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(508) 207-7600 | |
(508) 334-8628 |
Full Name | Johnny Lee Isenberger |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497987028 | NPI | - | NPPES |
110084311A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 250929 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Melrosewakefield Healthcare, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841290467 PECOS PAC ID: 8224935838 Enrollment ID: O20040504000734 |
Mailing Address | Practice Location Address |
---|---|
Johnny Lee Isenberger, Po Box 415348, Boston, MA 02241-0001 Ph: (800) 225-8885 | Johnny Lee Isenberger, 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 207-7600 |
Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710 | |
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063 | |
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 | |
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609 | |
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761 | |
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 | |
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470 |