| Libbi Wissekerke, PA-C | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (508) 856-4161 | |
| (508) 856-6703 |
| Full Name | Libbi Wissekerke |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 55 Lake Ave N, Worcester, Massachusetts |
| 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 |
|---|---|---|---|
| 1497217400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01129 (Rhode Island) | Secondary |
| 363A00000X | Physician Assistant | PA8171 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Libbi Wissekerke, PA-C Po Box 415348, Boston, MA 02241-5348 Ph: () - | Libbi Wissekerke, PA-C 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 856-4161 |
Mark Manzo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Park Ave Ste 163, Worcester, MA 01609 Phone: 508-752-0843 | |
Daniel J Zinkus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 Fax: 774-441-6086 | |
Rachel Anderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Kyle Fernandez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-8515 Fax: 508-334-6490 | |
Marie L Gut, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Orthopedics, Worcester, MA 01655 Phone: 508-334-2372 Fax: 508-334-3408 | |
Keith A Beals, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Lynn Galvin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 585 Lincoln St, Worcester, MA 01605 Phone: 800-464-9555 |